MIRANDA KRISTINE CARRICO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004303

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

KRISTINE

Last Name

CARRICO

Business Name

MIRANDA KRISTINE CARRICO

Original Issue Date

03/27/2012

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2025