JAMES MITCHELL LEACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

MITCHELL

Last Name

LEACH

Business Name

JAMES MITCHELL LEACH

Original Issue Date

01/11/2005

Effective Date

02/08/2008

Expiration Date

03/01/2010

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

12/01/2010