SCOTT AHLSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007059

License Status

ACTIVE

Business

First Name

SCOTT

Last Name

AHLSTROM

Business Name

SCOTT AHLSTROM

Original Issue Date

05/06/2019

Effective Date

03/24/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

03/24/2026