LEIGHA ANN CARR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005997

License Status

NOT RENEWED

Business

First Name

LEIGHA

Middle

ANN

Last Name

CARR

Business Name

LEIGHA ANN CARR

Original Issue Date

09/22/2016

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/24/2020