MICHAEL RICHARD GENIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005502

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

GENIN

Business Name

MICHAEL RICHARD GENIN

Original Issue Date

06/25/2015

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/12/2026