SCOTT AHLSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

SCOTT

Last Name

AHLSTROM

Business Name

SCOTT AHLSTROM

Original Issue Date

08/12/2019

Effective Date

03/24/2026

Expiration Date

03/01/2028

City

KENILWORTH

State

Zip

60043

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/24/2026