PAIGE BROUSTIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010164

License Status

ACTIVE

Business

First Name

PAIGE

Last Name

BROUSTIS

Business Name

PAIGE BROUSTIS

Original Issue Date

10/27/2023

Effective Date

02/09/2024

Expiration Date

03/01/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025