MARY KATE MINEMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006767

License Status

ACTIVE

Business

First Name

MARY KATE

Last Name

MINEMAN

Business Name

MARY KATE MINEMAN

Original Issue Date

09/28/2018

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

12/03/2025