SAMUEL WHITSEDIE ECKERT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008872

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

WHITSEDIE

Last Name

ECKERT

Business Name

SAMUEL WHITSEDIE ECKERT

Original Issue Date

02/10/2022

Effective Date

02/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

02/21/2026