MELISSA SARAH CHILDS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

INOPERATIVE

Business

First Name

MELISSA

Middle

SARAH

Last Name

CHILDS

Business Name

MELISSA SARAH CHILDS

Original Issue Date

11/06/2003

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019