ALYSSA BRIE KETCHUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005549

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

BRIE

Last Name

KETCHUM

Business Name

ALYSSA BRIE KETCHUM

Original Issue Date

07/14/2015

Effective Date

12/27/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2026