LESLEE L BROOKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

LESLEE

Middle

Last Name

BROOKS

Business Name

LESLEE L BROOKS

Original Issue Date

07/29/2005

Effective Date

02/14/2012

Expiration Date

03/01/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/06/2014