ALEXIS ELIZABETH ELLSTROM - Physician Assistant License in Illinois | # 085007289

ALEXIS ELIZABETH ELLSTROM

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007289

License Status

ACTIVE

Business

N

First Name

ALEXIS

Middle

ELIZABETH

Last Name

ELLSTROM

Business Name

ALEXIS ELIZABETH ELLSTROM

Original Issue Date

09/19/2019

Effective Date

01/19/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/19/2026