LEONARD JACK STEWART Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

INOPERATIVE

Business

First Name

LEONARD

Middle

JACK

Last Name

STEWART

Business Name

LEONARD JACK STEWART

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

03/01/2022

City

MORTON GROVE

State

Zip

60053

Ever Disciplined

LastModifiedDate

01/03/2022