CHELSEA JO LILES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006393

License Status

NOT RENEWED

Business

First Name

CHELSEA

Middle

Last Name

LILES

Business Name

CHELSEA JO LILES

Original Issue Date

10/13/2017

Effective Date

01/31/2018

Expiration Date

03/01/2020

City

BETTENDORF

State

Zip

52722

County

SCOTT

Ever Disciplined

LastModifiedDate

11/24/2020