STACIE LEE SWISHER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005740

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

LEE

Last Name

SWISHER

Business Name

STACIE LEE SWISHER

Original Issue Date

11/25/2015

Effective Date

02/20/2022

Expiration Date

03/01/2024

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

02/05/2025