ALEXANDER A THEILER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

THEILER

Business Name

ALEXANDER A THEILER

Original Issue Date

09/16/2013

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018