NEELI AXLER ENGELHART 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

NEELI

Middle

AXLER

Last Name

ENGELHART

Business Name

NEELI AXLER ENGELHART

Original Issue Date

02/23/2001

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012