ADAM ANTHONY MIETUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005803

License Status

ACTIVE

Business

First Name

ADAM

Middle

ANTHONY

Last Name

MIETUS

Business Name

ADAM ANTHONY MIETUS

Original Issue Date

03/29/2016

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2025