ALEXA HELENA NIEHAUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002946

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

HELENA

Last Name

NIEHAUS

Business Name

ALEXA HELENA NIEHAUS

Original Issue Date

02/13/2007

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012