MEGAN RAE SLOCUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

RAE

Last Name

SLOCUM

Business Name

MEGAN RAE SLOCUM

Original Issue Date

11/06/2009

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020