LEAH B T NELSON 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

LEAH

Middle

B T

Last Name

NELSON

Business Name

LEAH B T NELSON

Original Issue Date

09/22/2009

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018