ANDREA R BEVOLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006765

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

BEVOLO

Business Name

ANDREA R BEVOLO

Original Issue Date

09/28/2018

Effective Date

12/29/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

WILL

Ever Disciplined

LastModifiedDate

12/29/2025