ELLEN GRACE FAHEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

ELLEN

Middle

GRACE

Last Name

FAHEY

Business Name

ELLEN GRACE FAHEY

Original Issue Date

07/03/2025

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026