ALYSSA MICEK

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****52

ACTIVE

N

ALYSSA

MICEK

ALYSSA MICEK

01/10/2020

01/22/2026

03/01/2028

WARRENVILLE

IL

60563

DUPAGE

II III IV V

N

01/22/2026