ANGELA RAE MEYERS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

RAE

Last Name

MEYERS

Business Name

ANGELA RAE MEYERS

Original Issue Date

10/03/2011

Effective Date

02/23/2012

Expiration Date

03/01/2014

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/10/2013