LEIGH ELLEN VANTIMMEREN - Physician Assistant License in Illinois | # 085005837

LEIGH ELLEN VANTIMMEREN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005837

License Status

NOT RENEWED

Business

N

First Name

LEIGH

Middle

ELLEN

Last Name

VANTIMMEREN

Business Name

LEIGH ELLEN VANTIMMEREN

Original Issue Date

06/07/2016

Effective Date

02/20/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022