MEGAN M JACKLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003899

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

JACKLIN

Business Name

MEGAN M JACKLIN

Original Issue Date

09/24/2010

Effective Date

12/27/2011

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014