AMELIA E C ELLIOTT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

AMELIA

Middle

E C

Last Name

ELLIOTT

Business Name

AMELIA E C ELLIOTT

Original Issue Date

07/06/2010

Effective Date

02/01/2024

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025