PAIGE BROUSTIS - Physician Assistant License in Illinois | # 085010164

PAIGE BROUSTIS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010164

License Status

ACTIVE

Business

N

First Name

PAIGE

Last Name

BROUSTIS

Business Name

PAIGE BROUSTIS

Original Issue Date

10/27/2023

Effective Date

02/09/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025