LEAH KRISTENE MICHELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

KRISTENE

Last Name

MICHELLI

Business Name

LEAH KRISTENE MICHELLI

Original Issue Date

11/10/2016

Effective Date

04/04/2018

Expiration Date

03/01/2020

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020