JENNIFER RENEA ELLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001438

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RENEA

Last Name

ELLIS

Business Name

JENNIFER RENEA ELLIS

Original Issue Date

10/24/2000

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2025