MICHELLE ELISE BOUSHKA - Physician Assistant License in Illinois | # 085009146

MICHELLE ELISE BOUSHKA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009146

License Status

ACTIVE

Business

N

First Name

MICHELLE

Middle

ELISE

Last Name

BOUSHKA

Business Name

MICHELLE ELISE BOUSHKA

Original Issue Date

07/30/2022

Effective Date

01/24/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025