LEAH TERESE PIECZYNSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

TERESE

Last Name

PIECZYNSKI

Business Name

LEAH TERESE PIECZYNSKI

Original Issue Date

01/17/2003

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/02/2016