FRITZ LEIDIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

FRITZ

Last Name

LEIDIG

Suffix

Business Name

FRITZ LEIDIG MD

Original Issue Date

05/30/2000

Effective Date

08/15/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017