ELLEN GRACE FAHEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011172

License Status

ACTIVE

Business

First Name

ELLEN

Middle

GRACE

Last Name

FAHEY

Business Name

ELLEN GRACE FAHEY

Original Issue Date

03/04/2025

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2026