LEAH DONIELLE CANVASSER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074339

License Status

EXPIRED

Business

Title

First Name

LEAH

Middle

DONIELLE

Last Name

CANVASSER

Business Name

LEAH DONIELLE CANVASSER MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024