MEGAN MARIE MICHAEL - Physician Assistant License in Illinois | # 085004572

MEGAN MARIE MICHAEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004572

License Status

NOT RENEWED

Business

N

First Name

MEGAN

Middle

MARIE

Last Name

MICHAEL

Business Name

MEGAN MARIE MICHAEL

Original Issue Date

11/20/2012

Effective Date

02/13/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022