KELSEY FAYE ANGELL MCEWEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

INOPERATIVE

Business

First Name

KELSEY

Middle

FAYE ANGELL

Last Name

MCEWEN

Business Name

KELSEY FAYE ANGELL MCEWEN

Original Issue Date

10/27/2009

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2013