MEGAN E CZOSEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002062

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

CZOSEK

Business Name

MEGAN E CZOSEK

Original Issue Date

08/20/2003

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020