ENA ALIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012044

License Status

ACTIVE

Business

First Name

ENA

Last Name

ALIC

Business Name

ENA ALIC

Original Issue Date

01/26/2026

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

01/26/2026