MEGAN MICHELLE MOSER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002021

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MICHELLE

Last Name

MOSER

Business Name

MEGAN MICHELLE MOSER

Original Issue Date

07/02/2003

Effective Date

07/02/2003

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008