TRAN GIA LE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

INOPERATIVE

Business

First Name

TRAN

Middle

GIA

Last Name

Business Name

TRAN GIA LE

Original Issue Date

10/10/2006

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018