MEGAN CARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

MEGAN

Last Name

CARSON

Business Name

MEGAN CARSON

Original Issue Date

10/14/2005

Effective Date

10/14/2005

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2007