SCOTT MICHAEL LEIKIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065761

License Status

CANCELLED

Business

Title

First Name

SCOTT

Middle

MICHAEL

Last Name

LEIKIN

Business Name

SCOTT MICHAEL LEIKIN DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/10/2015