MELINDA JOY VAN ROOYEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

JOY

Last Name

VAN ROOYEN

Business Name

MELINDA JOY VAN ROOYEN

Original Issue Date

10/25/2005

Effective Date

10/25/2005

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006