ALEXANDRA TATE FRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

TATE

Last Name

FRY

Business Name

ALEXANDRA TATE FRY

Original Issue Date

01/27/2021

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026