BLAKE BECK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011042

License Status

ACTIVE

Business

First Name

BLAKE

Last Name

BECK

Business Name

BLAKE BECK

Original Issue Date

01/03/2025

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60607

Ever Disciplined

LastModifiedDate

02/14/2026