MEGAN ANN DICKMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

MEGAN

Middle

ANN

Last Name

DICKMAN

Business Name

MEGAN ANN DICKMAN

Original Issue Date

09/12/2024

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026