LEONID AYZENBERG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

LEONID

Last Name

AYZENBERG

Business Name

LEONID AYZENBERG

Original Issue Date

05/22/1998

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023