MATTHEW ALLEN TROUP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003627

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

TROUP

Business Name

MATTHEW ALLEN TROUP

Original Issue Date

10/01/2009

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025