MEGHAN E BAUMANN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

ACTIVE

Business

First Name

MEGHAN

Middle

Last Name

BAUMANN

Business Name

MEGHAN E BAUMANN

Original Issue Date

12/09/2003

Effective Date

01/11/2024

Expiration Date

03/01/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025