LEONARD JACK STEWART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007874

License Status

NOT RENEWED

Business

First Name

LEONARD

Middle

JACK

Last Name

STEWART

Business Name

LEONARD JACK STEWART

Original Issue Date

08/06/2020

Effective Date

08/06/2020

Expiration Date

03/01/2022

City

TAMPA

State

Zip

33619

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022