SAMUEL LESCHISIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074976

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Last Name

LESCHISIN

Business Name

SAMUEL LESCHISIN MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

CHICAGO

State

Zip

60657

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022