MEGHAN C MALLOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003471

License Status

NOT RENEWED

Business

First Name

MEGHAN

Middle

Last Name

MALLOY

Business Name

MEGHAN C MALLOY

Original Issue Date

06/15/2009

Effective Date

12/28/2011

Expiration Date

03/01/2014

City

DOVER

State

Zip

19901

Ever Disciplined

LastModifiedDate

10/01/2015

Case Number

2011006444

Action

Probation

Discipline Start Date

10/07/2014

Discipline End Date

10/03/2019

Discipline Reason

after Respondent pled guilty to Homicide by Vehicle and was disciplined by the Pennsylvania State Board of Medicine.