ALFONSO VALDIVIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012075

License Status

ACTIVE

Business

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

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

03/13/2026