ELLEN REBECCA SLADE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009617

License Status

ACTIVE

Business

First Name

ELLEN

Middle

REBECCA

Last Name

SLADE

Business Name

ELLEN REBECCA SLADE

Original Issue Date

03/30/2023

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

Ever Disciplined

LastModifiedDate

12/17/2025