ELIZA LEE BALLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

ELIZA

Middle

LEE

Last Name

BALLEN

Business Name

ELIZA LEE BALLEN

Original Issue Date

10/08/2020

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

VERNON HILLS

State

Zip

60061

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026