MEGAN M CUNNINGHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005302

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

CUNNINGHAM

Business Name

MEGAN M CUNNINGHAM

Original Issue Date

10/08/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/24/2020