LESLEY ANN PLACEWAY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002552

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

ANN

Last Name

PLACEWAY

Business Name

LESLEY ANN PLACEWAY

Original Issue Date

08/29/2005

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012