JACOB MANUEL MONSIVAIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003841

License Status

ACTIVE

Business

First Name

JACOB

Middle

MANUEL

Last Name

MONSIVAIS

Business Name

JACOB MANUEL MONSIVAIS

Original Issue Date

09/01/2010

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/21/2026