LAUREL MELISSA POOLE

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****65

ACTIVE

N

LAUREL

MELISSA

POOLE

LAUREL MELISSA POOLE

08/31/2012

02/02/2026

03/01/2028

FRANKFORT

IL

60423

WILL

II III IV V

N

02/02/2026