STACIA LYNN CHEADLE - Physician Assistant License in Illinois | # 085004419

STACIA LYNN CHEADLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004419

License Status

NOT RENEWED

Business

N

First Name

STACIA

Middle

LYNN

Last Name

CHEADLE

Business Name

STACIA LYNN CHEADLE

Original Issue Date

08/21/2012

Effective Date

01/29/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/22/2017