LEAH ELIZABETH GONNEVILLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008942

License Status

ACTIVE

Business

First Name

LEAH

Middle

ELIZABETH

Last Name

GONNEVILLE

Business Name

LEAH ELIZABETH GONNEVILLE

Original Issue Date

03/21/2022

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2026