THOR JALECO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011190

License Status

ACTIVE

Business

First Name

THOR

Last Name

JALECO

Business Name

THOR JALECO

Original Issue Date

03/07/2025

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2025