MEAGAN MARIE REDOUTEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

MEAGAN

Middle

MARIE

Last Name

REDOUTEY

Business Name

MEAGAN MARIE REDOUTEY

Original Issue Date

10/28/2021

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026