LEAH KRISTENE MICHELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006008

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

KRISTENE

Last Name

MICHELLI

Business Name

LEAH KRISTENE MICHELLI

Original Issue Date

09/26/2016

Effective Date

04/04/2018

Expiration Date

03/01/2020

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/24/2020