DIANE CAROL MCAVOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

CAROL

Last Name

MCAVOY

Business Name

DIANE CAROL MCAVOY

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

03/01/2024

City

ARLINGTON HEIGHTS

State

Zip

60005

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025