ETHAN JAMES KSIAZEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010244

License Status

ACTIVE

Business

First Name

ETHAN

Middle

JAMES

Last Name

KSIAZEK

Business Name

ETHAN JAMES KSIAZEK

Original Issue Date

01/05/2024

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

02/17/2026