JOHN G LEASE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015341

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

Last Name

LEASE

Business Name

JOHN G LEASE MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/25/1985

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006