CHRISTINA MARIE DELEO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

DELEO

Business Name

CHRISTINA MARIE DELEO

Original Issue Date

04/18/2018

Effective Date

04/18/2018

Expiration Date

03/01/2020

City

CANTON

State

Zip

61520

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020