TIMOTHY R HALL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001018

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

HALL

Business Name

TIMOTHY R HALL

Original Issue Date

01/27/1998

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

MINOOKA

State

Zip

60447

County

WILL

Ever Disciplined

LastModifiedDate

01/16/2026