ELAINE CHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

CHEN

Business Name

ELAINE CHEN

Original Issue Date

09/01/2020

Effective Date

09/01/2020

Expiration Date

03/01/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022