STACI LEIGH CLUTTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010049

License Status

NOT RENEWED

Business

First Name

STACI

Middle

LEIGH

Last Name

CLUTTER

Business Name

STACI LEIGH CLUTTER

Original Issue Date

09/15/2023

Effective Date

09/15/2023

Expiration Date

03/01/2024

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025