MATTHEW ALLEN TROUP Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

INOPERATIVE

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

TROUP

Business Name

MATTHEW ALLEN TROUP

Original Issue Date

02/09/2010

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023