MERISSA L MANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

NOT RENEWED

Business

First Name

MERISSA

Middle

Last Name

MANN

Business Name

MERISSA L MANN

Original Issue Date

10/30/2013

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016