ALECIA KAILEY BOEDER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

ALECIA

Middle

KAILEY

Last Name

BOEDER

Business Name

ALECIA KAILEY BOEDER

Original Issue Date

06/15/2015

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023