DANIEL G MEHARI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MEHARI

Business Name

DANIEL G MEHARI

Original Issue Date

05/05/2005

Effective Date

11/01/2006

Expiration Date

03/01/2008

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

03/14/2008