AUSTIN RAY FIEDLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007036

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

RAY

Last Name

FIEDLER

Business Name

AUSTIN RAY FIEDLER

Original Issue Date

04/12/2019

Effective Date

02/23/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025