MEGANNE M GERWIN 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

MEGANNE

Middle

Last Name

GERWIN

Business Name

MEGANNE M GERWIN

Original Issue Date

10/07/2010

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CREST HILL

State

Zip

60403

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022