ANNE MICHAELSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

INOPERATIVE

Business

First Name

ANNE

Last Name

MICHAELSON

Business Name

ANNE MICHAELSON

Original Issue Date

09/12/2022

Effective Date

09/12/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023