MADISON CAROL MEDINA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011066

License Status

ACTIVE

Business

First Name

MADISON

Middle

CAROL

Last Name

MEDINA

Business Name

MADISON CAROL MEDINA

Original Issue Date

01/15/2025

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2026