MEAGAN KATHLEEN O'BRIEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

INOPERATIVE

Business

First Name

MEAGAN

Middle

KATHLEEN

Last Name

O'BRIEN

Business Name

MEAGAN KATHLEEN O'BRIEN

Original Issue Date

08/19/2016

Effective Date

03/08/2018

Expiration Date

03/01/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/18/2019