MEGAN HANNAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008148

License Status

ACTIVE

Business

First Name

MEGAN

Last Name

HANNAM

Business Name

MEGAN HANNAM

Original Issue Date

01/23/2021

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

MINERAL

State

Zip

61344

County

BUREAU

Ever Disciplined

LastModifiedDate

01/13/2026