APRIL TAMARA ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007845

License Status

NOT RENEWED

Business

First Name

APRIL

Middle

TAMARA

Last Name

ELLIS

Business Name

APRIL TAMARA ELLIS

Original Issue Date

07/17/2020

Effective Date

01/21/2022

Expiration Date

03/01/2024

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025