MARY JO ELAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

ELAM

Business Name

MARY JO ELAM

Original Issue Date

03/03/2014

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

CEDAR RAPIDS

State

Zip

52404

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026