ALEXA HARRIS TANNOUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005472

License Status

ACTIVE

Business

First Name

ALEXA

Middle

HARRIS

Last Name

TANNOUS

Business Name

ALEXA HARRIS TANNOUS

Original Issue Date

06/01/2015

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025