COREY W LEO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002510

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

LEO

Business Name

COREY W LEO

Original Issue Date

07/22/2005

Effective Date

07/22/2005

Expiration Date

03/01/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008