STEPHEN LOUIS LEB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071604

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

LOUIS

Last Name

LEB

Business Name

STEPHEN LOUIS LEB MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

01/25/2018