BYRON CHRISTOPHER LEAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000570

License Status

EXPIRED

Business

First Name

BYRON

Middle

CHRISTOPHER

Last Name

LEAK

Suffix

Business Name

BYRON CHRISTOPHER LEAK MD

Original Issue Date

09/02/2002

Effective Date

09/02/2002

Expiration Date

10/01/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/25/2006