TALIA M MAVROGIANNIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008933

License Status

ACTIVE

Business

First Name

TALIA

Middle

Last Name

MAVROGIANNIS

Business Name

TALIA M MAVROGIANNIS

Original Issue Date

03/17/2022

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/24/2026