LEILANI E LABIANCO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

LEILANI E

Last Name

LABIANCO

Business Name

LEILANI E LABIANCO

Original Issue Date

09/15/2006

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023