STACEY LEITHLITER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

STACEY

Last Name

LEITHLITER

Business Name

STACEY LEITHLITER

Original Issue Date

01/30/2001

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/24/2026