LEI LEI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

LEI

Last Name

LEI

Business Name

LEI LEI MD

Original Issue Date

09/01/2016

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

TUCSON

State

Zip

85718

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023