MARVEN LEFTICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MARVEN

Last Name

LEFTICK

Business Name

MARVEN LEFTICK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006