MERI E MACKEY 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

First Name

MERI

Middle

Last Name

MACKEY

Business Name

MERI E MACKEY

Original Issue Date

02/04/2009

Effective Date

01/13/2010

Expiration Date

03/01/2012

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

11/07/2012