ALEXA ROSE WHITEHEAD - Physician Assistant License in Illinois | # 085005608

ALEXA ROSE WHITEHEAD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005608

License Status

NOT RENEWED

Business

N

First Name

ALEXA

Middle

ROSE

Last Name

WHITEHEAD

Business Name

ALEXA ROSE WHITEHEAD

Original Issue Date

08/28/2015

Effective Date

02/03/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018