MOLLY BRIANNA LEAVITT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076067

License Status

CANCELLED

Business

Title

First Name

MOLLY

Middle

BRIANNA

Last Name

LEAVITT

Business Name

MOLLY BRIANNA LEAVITT MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/14/2020