LINDSAY MARIE MELLAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

MARIE

Last Name

MELLAN

Business Name

LINDSAY MARIE MELLAN

Original Issue Date

08/19/2022

Effective Date

08/19/2022

Expiration Date

03/01/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025