KEITH PATRICK LEITZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149517

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

PATRICK

Last Name

LEITZEN

Business Name

KEITH PATRICK LEITZEN MD

Original Issue Date

06/03/2019

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

06/29/2023