MEGAN ELIZABETH LARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

LARSON

Business Name

MEGAN ELIZABETH LARSON

Original Issue Date

10/02/2009

Effective Date

02/02/2012

Expiration Date

03/01/2014

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/04/2015