JOHANNE THEODULE FAHY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003125

License Status

ACTIVE

Business

First Name

JOHANNE

Middle

THEODULE

Last Name

FAHY

Business Name

JOHANNE THEODULE FAHY

Original Issue Date

10/23/2007

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2026