ALEXIS ELIZABETH ELLSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007289

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/19/2026