ALECIA KAILEY BOEDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005419

License Status

NOT RENEWED

Business

First Name

ALECIA

Middle

KAILEY

Last Name

BOEDER

Business Name

ALECIA KAILEY BOEDER

Original Issue Date

02/23/2015

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025