ALEXANDRA RAE COHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007126

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

RAE

Last Name

COHEN

Business Name

ALEXANDRA RAE COHEN

Original Issue Date

07/25/2019

Effective Date

05/11/2021

Expiration Date

03/01/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022