MICHAEL E MCCREA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

MCCREA

Business Name

MICHAEL E MCCREA

Original Issue Date

10/01/2001

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/28/2016