MEGAN ELIZABETH WATERKOTTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

WATERKOTTE

Business Name

MEGAN ELIZABETH WATERKOTTE

Original Issue Date

10/03/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2018