BODHI M ANDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005337

License Status

ACTIVE

Business

First Name

BODHI

Middle

Last Name

ANDERSON

Business Name

BODHI M ANDERSON

Original Issue Date

10/23/2014

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2026