ELIZA LEE BALLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007728

License Status

ACTIVE

Business

First Name

ELIZA

Middle

LEE

Last Name

BALLEN

Business Name

ELIZA LEE BALLEN

Original Issue Date

06/10/2020

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/28/2026