JAMES MITCHELL LEACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001056

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

MITCHELL

Last Name

LEACH

Business Name

JAMES MITCHELL LEACH

Original Issue Date

06/12/1998

Effective Date

02/08/2008

Expiration Date

03/01/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/01/2010