ERIN LORAN MYERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LORAN

Last Name

MYERS

Business Name

ERIN LORAN MYERS

Original Issue Date

03/22/2002

Effective Date

03/22/2002

Expiration Date

03/01/2004

City

HOOPESTON

State

Zip

60942

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006