MEGAN REESE MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

MEGAN

Last Name

REESE MARTIN

Business Name

MEGAN REESE MARTIN

Original Issue Date

11/14/2022

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026