MEGAN RAE SLOCUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003616

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

RAE

Last Name

SLOCUM

Business Name

MEGAN RAE SLOCUM

Original Issue Date

09/25/2009

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020