LEIGH ERIN DUNN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

LEIGH

Middle

ERIN

Last Name

DUNN

Business Name

LEIGH ERIN DUNN

Original Issue Date

07/02/2007

Effective Date

01/19/2010

Expiration Date

03/01/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/07/2014