STACI LEIGH CLUTTER - Physician Assistant License in Illinois | # 085010049

STACI LEIGH CLUTTER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010049

License Status

NOT RENEWED

Business

N

First Name

STACI

Middle

LEIGH

Last Name

CLUTTER

Business Name

STACI LEIGH CLUTTER

Original Issue Date

09/15/2023

Effective Date

09/15/2023

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025