KATI LOUISE MCLEOD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

KATI

Middle

LOUISE

Last Name

MCLEOD

Business Name

KATI LOUISE MCLEOD

Original Issue Date

11/05/2015

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018