SPENCER ALEXANDER LEBLANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

SPENCER

Middle

ALEXANDER

Last Name

LEBLANG

Business Name

SPENCER ALEXANDER LEBLANG MD

Original Issue Date

06/28/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023