MEGAN THERESE CONNOLLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

MEGAN

Middle

THERESE

Last Name

CONNOLLY

Business Name

MEGAN THERESE CONNOLLY

Original Issue Date

03/27/2017

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CREST HILL

State

Zip

60403

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026