LEIGHA ANN CARR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INOPERATIVE

Business

First Name

LEIGHA

Middle

ANN

Last Name

CARR

Business Name

LEIGHA ANN CARR

Original Issue Date

11/17/2016

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

02/07/2020