DALTON V REA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010753

License Status

ACTIVE

Business

First Name

DALTON

Middle

Last Name

REA

Business Name

DALTON V REA

Original Issue Date

09/05/2024

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/18/2026