KACY MARIE STANDIFORD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007378

License Status

ACTIVE

Business

First Name

KACY

Middle

MARIE

Last Name

STANDIFORD

Business Name

KACY MARIE STANDIFORD

Original Issue Date

10/18/2019

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/28/2026