MERI E MACKEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003244

License Status

NOT RENEWED

Business

First Name

MERI

Middle

Last Name

MACKEY

Business Name

MERI E MACKEY

Original Issue Date

07/21/2008

Effective Date

01/13/2010

Expiration Date

03/01/2012

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

11/07/2012