LEAH BALLANTYNE PEIRCE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076128

License Status

CANCELLED

Business

Title

First Name

LEAH

Middle

BALLANTYNE

Last Name

PEIRCE

Business Name

LEAH BALLANTYNE PEIRCE MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/06/2020