ELANI CHRIS BALIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

ELANI

Middle

CHRIS

Last Name

BALIS

Business Name

ELANI CHRIS BALIS

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

03/01/2026

City

EVANSTON

State

Zip

60201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025