SUSAN MAUREEN METTILLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001772

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MAUREEN

Last Name

METTILLE

Business Name

SUSAN MAUREEN METTILLE

Original Issue Date

02/27/2002

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

01/23/2026