ALYSSA NICOLE KNUEVEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

NICOLE

Last Name

KNUEVEN

Business Name

ALYSSA NICOLE KNUEVEN

Original Issue Date

05/13/2016

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020