LEAH CORINNE HEFFNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

CORINNE

Last Name

HEFFNER

Business Name

LEAH CORINNE HEFFNER

Original Issue Date

11/20/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

11/18/2010