MIKAELA LEE DOMICO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011439

License Status

ACTIVE

Business

First Name

MIKAELA

Middle

LEE

Last Name

DOMICO

Business Name

MIKAELA LEE DOMICO

Original Issue Date

07/21/2025

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

01/22/2026