ELLIE VRAA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

ELLIE

Last Name

VRAA

Business Name

ELLIE VRAA

Original Issue Date

06/20/2023

Effective Date

01/21/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025