JABON ELLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174847

License Status

ACTIVE

Business

Title

First Name

JABON

Last Name

ELLIS

Business Name

JABON ELLIS DO

Original Issue Date

05/02/2025

Effective Date

05/02/2025

Expiration Date

07/31/2026

City

ST. LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

05/02/2025