COLETTE BRIDGET EBSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

COLETTE

Middle

BRIDGET

Last Name

EBSEN

Business Name

COLETTE BRIDGET EBSEN

Original Issue Date

09/21/2020

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026