DAVID C LEACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

LEACH

Suffix

Business Name

DAVID C LEACH MD

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006