TERESA DAWN MEJORADO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

TERESA

Middle

DAWN

Last Name

MEJORADO

Business Name

TERESA DAWN MEJORADO

Original Issue Date

08/25/2003

Effective Date

12/13/2025

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/13/2025