STACY JO KEGEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007819

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

KEGEL

Business Name

STACY JO KEGEL

Original Issue Date

07/08/2020

Effective Date

01/03/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025