LARRY OSCAR LEYDERMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004191

License Status

NOT RENEWED

Business

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

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016