LEANN MICHELLE MURPHY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

INOPERATIVE

Business

First Name

LEANN

Middle

MICHELLE

Last Name

MURPHY

Business Name

LEANN MICHELLE MURPHY

Original Issue Date

01/28/2014

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/09/2015