ELLEN FLORA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

INOPERATIVE

Business

First Name

ELLEN

Last Name

FLORA

Business Name

ELLEN FLORA

Original Issue Date

01/09/2024

Effective Date

01/09/2024

Expiration Date

03/01/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/03/2025