JAMIE LYNNE ELLINGWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LYNNE

Last Name

ELLINGWOOD

Business Name

JAMIE LYNNE ELLINGWOOD

Original Issue Date

09/02/2014

Effective Date

12/23/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2025