LESLYE KAY WOLF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002025

License Status

NOT RENEWED

Business

First Name

LESLYE

Middle

KAY

Last Name

WOLF

Business Name

LESLYE KAY WOLF

Original Issue Date

07/07/2003

Effective Date

11/01/2006

Expiration Date

03/01/2008

City

GARDEN CITY

State

Zip

48135

Ever Disciplined

LastModifiedDate

12/29/2024