ELAINE CHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007643

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

CHEN

Business Name

ELAINE CHEN

Original Issue Date

05/01/2020

Effective Date

05/01/2020

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022