MEREDITH ELISE OSBORNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

ELISE

Last Name

OSBORNE

Business Name

MEREDITH ELISE OSBORNE

Original Issue Date

01/13/2020

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60654

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025