LEON E DEPREST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

LEON

Middle

Last Name

DEPREST

Suffix

Business Name

LEON E DEPREST MD

Original Issue Date

10/19/1988

Effective Date

10/19/1988

Expiration Date

07/31/1993

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020