MIA MCKENZIE WALTERS - Physician Assistant License in Illinois | # 085011639

MIA MCKENZIE WALTERS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011639

License Status

ACTIVE

Business

N

First Name

MIA

Middle

MCKENZIE

Last Name

WALTERS

Business Name

MIA MCKENZIE WALTERS

Original Issue Date

09/03/2025

Effective Date

09/03/2025

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025