LESLIE A MCCUTCHEON 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

LESLIE

Middle

Last Name

MCCUTCHEON

Business Name

LESLIE A MCCUTCHEON

Original Issue Date

12/08/2004

Effective Date

01/04/2010

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012