MEGAN MARIE MICHAEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

MICHAEL

Business Name

MEGAN MARIE MICHAEL

Original Issue Date

02/19/2013

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022