ALEXANDER BLANK - Physician Assistant License in Illinois | # 085007989

ALEXANDER BLANK

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007989

License Status

ACTIVE

Business

N

First Name

ALEXANDER

Last Name

BLANK

Business Name

ALEXANDER BLANK

Original Issue Date

10/02/2020

Effective Date

01/25/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/25/2026