MEGAN N LAAKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006227

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

LAAKE

Business Name

MEGAN N LAAKE

Original Issue Date

07/06/2017

Effective Date

07/06/2017

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018