MIKAELA L MCGRORY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

MIKAELA

Middle

Last Name

MCGRORY

Business Name

MIKAELA L MCGRORY

Original Issue Date

04/06/2012

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020