MICHAEL ROBIN ELLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178348

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ROBIN

Last Name

ELLEN

Business Name

MICHAEL ROBIN ELLEN MD

Original Issue Date

12/23/2025

Effective Date

12/23/2025

Expiration Date

07/31/2026

City

SALEM

State

Zip

53168

Ever Disciplined

LastModifiedDate

12/23/2025