ALEXANDER A THEILER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004702

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

THEILER

Business Name

ALEXANDER A THEILER

Original Issue Date

07/05/2013

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018