STEPHANIE M ELLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003868

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

ELLIS

Business Name

STEPHANIE M ELLIS

Original Issue Date

09/16/2010

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

01/18/2026