MEGAN ANN LARSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005847

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ANN

Last Name

LARSEN

Business Name

MEGAN ANN LARSEN

Original Issue Date

06/23/2016

Effective Date

02/14/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020