MEGAN I MORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

MORAN

Business Name

MEGAN I MORAN

Original Issue Date

08/20/2015

Effective Date

02/25/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025