ALEXA HARRIS TANNOUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

ALEXA

Middle

HARRIS

Last Name

TANNOUS

Business Name

ALEXA HARRIS TANNOUS

Original Issue Date

07/01/2015

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025