JACQUELINE D LEAVITT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096995

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

LEAVITT

Suffix

Business Name

JACQUELINE D LEAVITT MD

Original Issue Date

11/14/1997

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2023