ALEXANDRA ELISABETH THIEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008840

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

ELISABETH

Last Name

THIEL

Business Name

ALEXANDRA ELISABETH THIEL

Original Issue Date

01/28/2022

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2025