LEAH MARIE MOONEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MARIE

Last Name

MOONEY

Business Name

LEAH MARIE MOONEY

Original Issue Date

08/04/2022

Effective Date

08/04/2022

Expiration Date

03/01/2024

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025