LESLIE DEAN YEATES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

DEAN

Last Name

YEATES

Business Name

LESLIE DEAN YEATES

Original Issue Date

03/26/2001

Effective Date

01/08/2010

Expiration Date

03/01/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/18/2015