AMY JO LEIFHEIT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052538

License Status

CANCELLED

Business

First Name

AMY

Middle

Last Name

LEIFHEIT

Suffix

Business Name

AMY JO LEIFHEIT MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2010

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/24/2008