MICHAEL HABLISTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009497

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

HABLISTON

Business Name

MICHAEL HABLISTON

Original Issue Date

01/26/2023

Effective Date

12/14/2023

Expiration Date

03/01/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025