LINDA LEA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

LINDA

Last Name

LEA

Business Name

LINDA LEA

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

03/01/2008

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006