TRACEE ANGELA BLACKBURN - Physician Assistant License in Illinois | # 085002507

TRACEE ANGELA BLACKBURN

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002507

License Status

ACTIVE

Business

N

First Name

TRACEE

Middle

ANGELA

Last Name

BLACKBURN

Business Name

TRACEE ANGELA BLACKBURN

Original Issue Date

07/21/2005

Effective Date

02/10/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/10/2026