MEREDITH MAE ANGELE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

MEREDITH

Middle

MAE

Last Name

ANGELE

Business Name

MEREDITH MAE ANGELE

Original Issue Date

01/17/2020

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025