MARK L LEAFGREEN - Physician Assistant License in Illinois | # 085000049

MARK L LEAFGREEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000049

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

L

Last Name

LEAFGREEN

Business Name

MARK L LEAFGREEN

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1980

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2008