HAYLIE RAY MCCLUNG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

HAYLIE

Middle

RAY

Last Name

MCCLUNG

Business Name

HAYLIE RAY MCCLUNG

Original Issue Date

01/15/2021

Effective Date

01/25/2022

Expiration Date

03/01/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023