ANDREA MARIE BLACK - Physician Assistant License in Illinois | # 085004270

ANDREA MARIE BLACK

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004270

License Status

ACTIVE

Business

N

First Name

ANDREA

Middle

MARIE

Last Name

BLACK

Business Name

ANDREA MARIE BLACK

Original Issue Date

01/18/2012

Effective Date

02/09/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/09/2026