CAMILLE N STACKHOUSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003540

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

Last Name

STACKHOUSE

Business Name

CAMILLE N STACKHOUSE

Original Issue Date

08/17/2009

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2026