ALEXANDRA RYAN LILLIE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

RYAN

Last Name

LILLIE

Business Name

ALEXANDRA RYAN LILLIE

Original Issue Date

03/05/2025

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60615

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026