SHULI L LEIKEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

INOPERATIVE

Business

First Name

SHULI

Middle

Last Name

LEIKEN

Business Name

SHULI L LEIKEN

Original Issue Date

03/17/2004

Effective Date

01/31/2022

Expiration Date

03/01/2024

City

JAMESTOWN

State

Zip

27282

Ever Disciplined

LastModifiedDate

12/06/2023