LIESL M BLETHEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006257

License Status

ACTIVE

Business

First Name

LIESL

Middle

Last Name

BLETHEN

Business Name

LIESL M BLETHEN

Original Issue Date

07/20/2017

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2026