TAJA LANIECE THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010238

License Status

ACTIVE

Business

First Name

TAJA

Middle

LANIECE

Last Name

THOMPSON

Business Name

TAJA LANIECE THOMPSON

Original Issue Date

12/31/2023

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60626

Ever Disciplined

LastModifiedDate

01/27/2026