KATHLEEN LACCI BIENIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003678

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

LACCI

Last Name

BIENIA

Business Name

KATHLEEN LACCI BIENIA

Original Issue Date

01/06/2010

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025