MICHELLE ELISE BOUSHKA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009146

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ELISE

Last Name

BOUSHKA

Business Name

MICHELLE ELISE BOUSHKA

Original Issue Date

07/30/2022

Effective Date

01/24/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60654

Ever Disciplined

LastModifiedDate

12/03/2025