MOLLY BRIANNA LEAVITT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164207

License Status

ACTIVE

Business

Title

First Name

MOLLY

Middle

BRIANNA

Last Name

LEAVITT

Business Name

MOLLY BRIANNA LEAVITT MD

Original Issue Date

04/01/2023

Effective Date

04/01/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024