JAMES LEITZE GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JAMES LEITZE

Last Name

GREEN

Suffix

Business Name

JAMES LEITZE GREEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020