CAROL EVA TALISSE LAICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003354

License Status

ACTIVE

Business

First Name

CAROL

Middle

EVA TALISSE

Last Name

LAICH

Business Name

CAROL EVA TALISSE LAICH

Original Issue Date

10/10/2008

Effective Date

12/06/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025