TRISHA DIANE LEONARD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

TRISHA

Middle

DIANE

Last Name

LEONARD

Business Name

TRISHA DIANE LEONARD

Original Issue Date

10/05/2016

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026