TINA M BOUSMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002077

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

BOUSMAN

Business Name

TINA M BOUSMAN

Original Issue Date

09/09/2003

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2026