JARED LEB KLEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JARED

Middle

LEB

Last Name

KLEIN

Suffix

Business Name

JARED LEB KLEIN MD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011