STACEY ILLYSE BECKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002026

License Status

ACTIVE

Business

First Name

STACEY

Middle

ILLYSE

Last Name

BECKER

Business Name

STACEY ILLYSE BECKER

Original Issue Date

07/11/2003

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025