APRIL TAMARA ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

APRIL

Middle

TAMARA

Last Name

ELLIS

Business Name

APRIL TAMARA ELLIS

Original Issue Date

09/23/2021

Effective Date

01/21/2022

Expiration Date

03/01/2024

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025