ALEXA HELENA NIEHAUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

HELENA

Last Name

NIEHAUS

Business Name

ALEXA HELENA NIEHAUS

Original Issue Date

03/22/2007

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012