ELLEN DE LEON BARNETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

DE LEON

Last Name

BARNETT

Business Name

ELLEN DE LEON BARNETT

Original Issue Date

03/09/2001

Effective Date

03/09/2001

Expiration Date

03/01/2006

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006