MARYANN DE LEON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

MARYANN

Last Name

DE LEON

Business Name

MARYANN DE LEON

Original Issue Date

04/12/1999

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023