LEONARD M SPISHAKOFF Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

LEONARD M

Last Name

SPISHAKOFF

Business Name

LEONARD M SPISHAKOFF

Original Issue Date

09/08/1995

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023