LESLIE BETH LEICHT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

BETH

Last Name

LEICHT

Business Name

LESLIE BETH LEICHT

Original Issue Date

04/05/2002

Effective Date

04/05/2002

Expiration Date

07/31/2005

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006