JULIE ANN QUAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004235

License Status

ACTIVE

Business

First Name

JULIE

Middle

ANN

Last Name

QUAM

Business Name

JULIE ANN QUAM

Original Issue Date

11/01/2011

Effective Date

03/03/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/03/2026