ETHAN ROBERT HIXSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002830

License Status

ACTIVE

Business

First Name

ETHAN

Middle

ROBERT

Last Name

HIXSON

Business Name

ETHAN ROBERT HIXSON

Original Issue Date

10/03/2006

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025