JONATHAN EDWARD ELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176209

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

ELLIS

Business Name

JONATHAN EDWARD ELLIS MD

Original Issue Date

07/22/2025

Effective Date

07/22/2025

Expiration Date

07/31/2026

City

OAKWOOD

State

Zip

45419

Ever Disciplined

LastModifiedDate

07/22/2025