SANDRA J LEESON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

SANDRA

Middle

Last Name

LEESON

Business Name

SANDRA J LEESON

Original Issue Date

09/13/2012

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026