LAUREN ELIZABETH DICICCO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005873

License Status

ACTIVE

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

DICICCO

Business Name

LAUREN ELIZABETH DICICCO

Original Issue Date

07/05/2016

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026