DANAE RASCHELLE COOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006502

License Status

NOT RENEWED

Business

First Name

DANAE

Middle

RASCHELLE

Last Name

COOK

Business Name

DANAE RASCHELLE COOK

Original Issue Date

01/31/2018

Effective Date

01/31/2018

Expiration Date

03/01/2020

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020