ERIN LORAN MYERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001417

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LORAN

Last Name

MYERS

Business Name

ERIN LORAN MYERS

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

03/01/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006