EMILY MARIE FUKUDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007835

License Status

ACTIVE

Business

First Name

EMILY

Middle

MARIE

Last Name

FUKUDA

Business Name

EMILY MARIE FUKUDA

Original Issue Date

07/13/2020

Effective Date

01/16/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025