SUSAN YOUNG BOLOTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005334

License Status

ACTIVE

Business

First Name

SUSAN

Middle

YOUNG

Last Name

BOLOTIN

Business Name

SUSAN YOUNG BOLOTIN

Original Issue Date

10/21/2014

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60004

Ever Disciplined

LastModifiedDate

12/04/2025