MEGAN MUKAVETZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

MEGAN

Last Name

MUKAVETZ

Business Name

MEGAN MUKAVETZ

Original Issue Date

12/17/2020

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025