JENNA KRISTINE COHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005080

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

KRISTINE

Last Name

COHEN

Business Name

JENNA KRISTINE COHEN

Original Issue Date

07/16/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018