COREY W LEO - Physician Assistant License in Illinois | # 085002510

COREY W LEO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002510

License Status

NOT RENEWED

Business

N

First Name

COREY

Middle

W

Last Name

LEO

Business Name

COREY W LEO

Original Issue Date

07/22/2005

Effective Date

07/22/2005

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008