TALIA S GORDON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009132

License Status

ACTIVE

Business

First Name

TALIA

Middle

Last Name

GORDON

Business Name

TALIA S GORDON

Original Issue Date

07/28/2022

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2026