ELLEN MARIE BOYNTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004009

License Status

ACTIVE

Business

First Name

ELLEN

Middle

MARIE

Last Name

BOYNTON

Business Name

ELLEN MARIE BOYNTON

Original Issue Date

03/10/2011

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/07/2026