VIOLETTA MICKIEWICZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002161

License Status

ACTIVE

Business

First Name

VIOLETTA

Last Name

MICKIEWICZ

Business Name

VIOLETTA MICKIEWICZ

Original Issue Date

10/29/2003

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/31/2025