ERIC R LEIENDECKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001085

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

Last Name

LEIENDECKER

Business Name

ERIC R LEIENDECKER MD

Original Issue Date

12/14/2015

Effective Date

12/14/2015

Expiration Date

06/13/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/16/2016