ZACHARY JOE MARANER LESHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

ZACHARY JOE

Middle

MARANER

Last Name

LESHEN

Business Name

ZACHARY JOE MARANER LESHEN MD

Original Issue Date

08/10/2009

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014