LAUQUYTA N WILMORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005620

License Status

ACTIVE

Business

First Name

LAUQUYTA

Middle

Last Name

WILMORE

Business Name

LAUQUYTA N WILMORE

Original Issue Date

09/03/2015

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2026