MICHIKO OTA - Physician Assistant License in Illinois | # 085010635

MICHIKO OTA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010635

License Status

ACTIVE

Business

N

First Name

MICHIKO

Last Name

OTA

Business Name

MICHIKO OTA

Original Issue Date

08/23/2024

Effective Date

02/03/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/03/2026