MACKENZIE RAE GOLUB Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009028

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

RAE

Last Name

GOLUB

Business Name

MACKENZIE RAE GOLUB

Original Issue Date

07/13/2022

Effective Date

01/24/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025