BENJAMIN JAMES LEAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109101

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JAMES

Last Name

LEAK

Suffix

Business Name

BENJAMIN JAMES LEAK MD

Original Issue Date

04/28/2003

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/19/2023