HOLLY BETH MYER 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

HOLLY

Middle

BETH

Last Name

MYER

Business Name

HOLLY BETH MYER

Original Issue Date

08/20/2021

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025