ELIS MADRIGAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152183

License Status

ACTIVE

Business

Title

First Name

ELIS

Last Name

MADRIGAL

Business Name

ELIS MADRIGAL MD

Original Issue Date

03/16/2020

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97236

Ever Disciplined

LastModifiedDate

01/24/2025