EMILY JANE ELLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

EMILY

Middle

JANE

Last Name

ELLIS

Business Name

EMILY JANE ELLIS

Original Issue Date

07/29/2014

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026