KELLY ANNE LEONARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008665

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

LEONARD

Business Name

KELLY ANNE LEONARD

Original Issue Date

10/06/2021

Effective Date

10/06/2021

Expiration Date

03/01/2022

City

CORTLAND

State

Zip

13045

Ever Disciplined

LastModifiedDate

07/27/2022