MEGAN THERESE CONNOLLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006128

License Status

ACTIVE

Business

First Name

MEGAN

Middle

THERESE

Last Name

CONNOLLY

Business Name

MEGAN THERESE CONNOLLY

Original Issue Date

02/09/2017

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

01/13/2026