RICKY LEFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

RICKY

Last Name

LEFF

Suffix

Business Name

RICKY LEFF MD

Original Issue Date

09/18/2002

Effective Date

09/18/2002

Expiration Date

07/31/2005

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006