EVAN D TKACZYK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008007

License Status

ACTIVE

Business

First Name

EVAN

Middle

Last Name

TKACZYK

Business Name

EVAN D TKACZYK

Original Issue Date

10/07/2020

Effective Date

12/25/2025

Expiration Date

03/01/2028

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

12/25/2025