JAMIE LYNNE ELLINGWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004875

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LYNNE

Last Name

ELLINGWOOD

Business Name

JAMIE LYNNE ELLINGWOOD

Original Issue Date

10/11/2013

Effective Date

12/23/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2025