LEAH MARIE EDQUIST - Physician Assistant License in Illinois | # 085004763

LEAH MARIE EDQUIST

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004763

License Status

NOT RENEWED

Business

N

First Name

LEAH

Middle

MARIE

Last Name

EDQUIST

Business Name

LEAH MARIE EDQUIST

Original Issue Date

07/24/2013

Effective Date

07/24/2013

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014