LAURA JEAN MCGOVERN D.O. Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

Title

D.O.

First Name

LAURA

Middle

JEAN

Last Name

MCGOVERN

Business Name

LAURA JEAN MCGOVERN D.O.

Original Issue Date

06/13/2001

Effective Date

06/13/2001

Expiration Date

03/01/2002

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006