EMILY MARIE MAINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

MARIE

Last Name

MAINE

Business Name

EMILY MARIE MAINE

Original Issue Date

09/23/2015

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022