ALEX JOHN POLENICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011782

License Status

ACTIVE

Business

First Name

ALEX

Middle

JOHN

Last Name

POLENICK

Business Name

ALEX JOHN POLENICK

Original Issue Date

10/23/2025

Effective Date

03/03/2026

Expiration Date

03/01/2028

City

KENT

State

Zip

44240

Ever Disciplined

LastModifiedDate

03/03/2026