NATASHA KATHLEEN LEIDHOLT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167946

License Status

ACTIVE

Business

Title

First Name

NATASHA

Middle

KATHLEEN

Last Name

LEIDHOLT

Business Name

NATASHA KATHLEEN LEIDHOLT MD

Original Issue Date

12/14/2023

Effective Date

12/14/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2023