LEAH D TEICHMILLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

TEICHMILLER

Business Name

LEAH D TEICHMILLER

Original Issue Date

09/28/2016

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025