MEGANNE M GERWIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003794

License Status

NOT RENEWED

Business

First Name

MEGANNE

Middle

Last Name

GERWIN

Business Name

MEGANNE M GERWIN

Original Issue Date

07/15/2010

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022