ETHAN JAMES KSIAZEK - Physician Assistant License in Illinois | # 085010244

ETHAN JAMES KSIAZEK

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010244

License Status

ACTIVE

Business

N

First Name

ETHAN

Middle

JAMES

Last Name

KSIAZEK

Business Name

ETHAN JAMES KSIAZEK

Original Issue Date

01/05/2024

Effective Date

02/17/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/17/2026