THEA MAUCK - Physician Assistant License in Illinois | # 085012104

THEA MAUCK

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012104

License Status

ACTIVE

Business

N

First Name

THEA

Last Name

MAUCK

Business Name

THEA MAUCK

Original Issue Date

02/11/2026

Effective Date

02/11/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/11/2026