MEGAN LESLEY GLENN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

MEGAN

Last Name

LESLEY GLENN

Business Name

MEGAN LESLEY GLENN

Original Issue Date

03/28/2012

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026