MEGAN MARIE SKOWRONSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

SKOWRONSKI

Business Name

MEGAN MARIE SKOWRONSKI

Original Issue Date

03/09/2009

Effective Date

01/10/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2015