JOHN R SODERSTROM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002806

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

SODERSTROM

Business Name

JOHN R SODERSTROM

Original Issue Date

09/05/2006

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/13/2026