LESLIE THARON CRANICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000909

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

THARON

Last Name

CRANICK

Business Name

LESLIE THARON CRANICK

Original Issue Date

03/31/1997

Effective Date

02/15/2018

Expiration Date

03/01/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/24/2020