LARRY OSCAR LEYDERMAN - Physician Assistant License in Illinois | # 085004191

LARRY OSCAR LEYDERMAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004191

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

OSCAR

Last Name

LEYDERMAN

Business Name

LARRY OSCAR LEYDERMAN

Original Issue Date

10/12/2011

Effective Date

02/26/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016