MEGAN ELIZABETH LARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003630

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

LARSON

Business Name

MEGAN ELIZABETH LARSON

Original Issue Date

10/02/2009

Effective Date

02/02/2012

Expiration Date

03/01/2014

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/04/2015