NATALIE K MECUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

NATALIE

Middle

Last Name

MECUM

Business Name

NATALIE K MECUM

Original Issue Date

08/03/2004

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

HINES

State

Zip

60141

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2025