TIA MARIE CONSOLINO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010855

License Status

ACTIVE

Business

First Name

TIA

Middle

MARIE

Last Name

CONSOLINO

Business Name

TIA MARIE CONSOLINO

Original Issue Date

10/01/2024

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/10/2025