CELESIA CHANTE LEONARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002010

License Status

NOT RENEWED

Business

First Name

CELESIA

Middle

CHANTE

Last Name

LEONARD

Business Name

CELESIA CHANTE LEONARD

Original Issue Date

05/21/2003

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016