LESLIE DEAN YEATES Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001038

License Status

INACTIVE

Business

First Name

LESLIE

Middle

DEAN

Last Name

YEATES

Business Name

LESLIE DEAN YEATES

Original Issue Date

03/16/1998

Effective Date

01/08/2010

Expiration Date

03/01/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/18/2015