NATASHA KATHLEEN LEIDHOLT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

NATASHA

Middle

KATHLEEN

Last Name

LEIDHOLT

Business Name

NATASHA KATHLEEN LEIDHOLT MD

Original Issue Date

12/28/2023

Effective Date

12/28/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/28/2023