MEGAN M CUNNINGHAM Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

MEGAN

Middle

Last Name

CUNNINGHAM

Business Name

MEGAN M CUNNINGHAM

Original Issue Date

10/14/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/23/2020