MARISA P COOKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003112

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

Last Name

COOKE

Business Name

MARISA P COOKE

Original Issue Date

10/17/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/06/2014