CELESIA CHANTE LEONARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

CELESIA

Middle

CHANTE

Last Name

LEONARD

Business Name

CELESIA CHANTE LEONARD

Original Issue Date

07/02/2003

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016