TIA MARIE CONSOLINO - Physician Assistant License in Illinois | # 085010855

TIA MARIE CONSOLINO

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010855

License Status

ACTIVE

Business

N

First Name

TIA

Middle

MARIE

Last Name

CONSOLINO

Business Name

TIA MARIE CONSOLINO

Original Issue Date

10/01/2024

Effective Date

12/10/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/10/2025