GODA ORENTAITE - Physician Assistant License in Illinois | # 085009341

GODA ORENTAITE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009341

License Status

ACTIVE

Business

N

First Name

GODA

Last Name

ORENTAITE

Business Name

GODA ORENTAITE

Original Issue Date

10/28/2022

Effective Date

02/25/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/25/2026