MOLLY E MARSHALL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

INOPERATIVE

Business

First Name

MOLLY

Middle

Last Name

MARSHALL

Business Name

MOLLY E MARSHALL

Original Issue Date

10/02/2002

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/01/2015