MERIN MARY THOMAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006098

License Status

NOT RENEWED

Business

First Name

MERIN

Middle

MARY

Last Name

THOMAS

Business Name

MERIN MARY THOMAS

Original Issue Date

12/29/2016

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020