KIRBY RYAN LEIGHTY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

KIRBY

Middle

RYAN

Last Name

LEIGHTY

Business Name

KIRBY RYAN LEIGHTY

Original Issue Date

09/23/2005

Effective Date

09/23/2005

Expiration Date

03/01/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/26/2006