ALEXANDRA MARIE MUSIAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARIE

Last Name

MUSIAL

Business Name

ALEXANDRA MARIE MUSIAL

Original Issue Date

01/31/2017

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020