STEPHEN MATTHEW BROADDUS - Physician Assistant License in Illinois | # 085005004

STEPHEN MATTHEW BROADDUS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005004

License Status

ACTIVE

Business

N

First Name

STEPHEN

Middle

MATTHEW

Last Name

BROADDUS

Business Name

STEPHEN MATTHEW BROADDUS

Original Issue Date

03/19/2014

Effective Date

02/03/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/03/2026