MICHAEL JOHN MACLEAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

NOT RENEWED

Business

First Name

MICHAEL JOHN

Last Name

MACLEAN

Business Name

MICHAEL JOHN MACLEAN

Original Issue Date

12/10/2004

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012