MARGARET MARY DEVAULT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002135

License Status

ACTIVE

Business

First Name

MARGARET

Middle

MARY

Last Name

DEVAULT

Business Name

MARGARET MARY DEVAULT

Original Issue Date

10/20/2003

Effective Date

03/06/2024

Expiration Date

03/01/2026

City

ALGONQUIN

State

Zip

60102

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025