LESLIE A MCCUTCHEON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001375

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

MCCUTCHEON

Business Name

LESLIE A MCCUTCHEON

Original Issue Date

04/13/2000

Effective Date

01/04/2010

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012