THOMAS LAURENCE LEITNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099341

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

LAURENCE

Last Name

LEITNER

Suffix

Business Name

THOMAS LAURENCE LEITNER MD

Original Issue Date

12/02/1998

Effective Date

12/02/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2007