ALEXIS ELIZABETH ELLSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

ELIZABETH

Last Name

ELLSTROM

Business Name

ALEXIS ELIZABETH ELLSTROM

Original Issue Date

02/25/2020

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026