LEAH MARIE EDQUIST Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004763

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MARIE

Last Name

EDQUIST

Business Name

LEAH MARIE EDQUIST

Original Issue Date

07/24/2013

Effective Date

07/24/2013

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014