HANNAH BLOOM LANE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011302

License Status

ACTIVE

Business

First Name

HANNAH

Middle

BLOOM

Last Name

LANE

Business Name

HANNAH BLOOM LANE

Original Issue Date

06/26/2025

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/12/2026