JENNA KRISTINE COHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

KRISTINE

Last Name

COHEN

Business Name

JENNA KRISTINE COHEN

Original Issue Date

08/28/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018