KACY MARIE STANDIFORD - Physician Assistant License in Illinois | # 085007378

KACY MARIE STANDIFORD

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007378

License Status

ACTIVE

Business

N

First Name

KACY

Middle

MARIE

Last Name

STANDIFORD

Business Name

KACY MARIE STANDIFORD

Original Issue Date

10/18/2019

Effective Date

01/28/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/28/2026