ALEXANDRIA ROSE WATTS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

INOPERATIVE

Business

First Name

ALEXANDRIA

Middle

ROSE

Last Name

WATTS

Business Name

ALEXANDRIA ROSE WATTS

Original Issue Date

10/11/2022

Effective Date

10/11/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023