KRISTEN MAYER COCAGNE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MAYER

Last Name

COCAGNE

Business Name

KRISTEN MAYER COCAGNE

Original Issue Date

07/25/2017

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/20/2026