DANAE RASCHELLE COOK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INOPERATIVE

Business

First Name

DANAE

Middle

RASCHELLE

Last Name

COOK

Business Name

DANAE RASCHELLE COOK

Original Issue Date

03/19/2018

Effective Date

03/19/2018

Expiration Date

03/01/2020

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019