MARISA P COOKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

Last Name

COOKE

Business Name

MARISA P COOKE

Original Issue Date

12/04/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/06/2014