ARIELLE TERRA DOUGLAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006499

License Status

ACTIVE

Business

First Name

ARIELLE

Middle

TERRA

Last Name

DOUGLAS

Business Name

ARIELLE TERRA DOUGLAS

Original Issue Date

01/29/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025