ALFONSO VALDIVIA - Physician Assistant License in Illinois | # 085012075

ALFONSO VALDIVIA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012075

License Status

ACTIVE

Business

N

First Name

ALFONSO

Last Name

VALDIVIA

Business Name

ALFONSO VALDIVIA

Original Issue Date

02/06/2026

Effective Date

02/06/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/13/2026