BLAKE CHRISTIAN LECHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

CHRISTIAN

Last Name

LECHE

Suffix

Business Name

BLAKE CHRISTIAN LECHE MD

Original Issue Date

06/23/2006

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011