JOHN G LEASE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070458

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

LEASE

Business Name

JOHN G LEASE MD

Original Issue Date

05/02/1985

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

02/23/2015