MADELYN MACKENZIE GEARY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

INOPERATIVE

Business

First Name

MADELYN

Middle

MACKENZIE

Last Name

GEARY

Business Name

MADELYN MACKENZIE GEARY

Original Issue Date

10/21/2019

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023