MARYSA VICTORIA LEYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MARYSA

Middle

VICTORIA

Last Name

LEYA

Business Name

MARYSA VICTORIA LEYA MD

Original Issue Date

06/14/2018

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021