MERYL K WEST Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

INOPERATIVE

Business

First Name

MERYL

Middle

Last Name

WEST

Business Name

MERYL K WEST

Original Issue Date

07/14/2014

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019