RACHELLE M LEACH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

RACHELLE

Middle

Last Name

LEACH

Business Name

RACHELLE M LEACH

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

07/31/2005

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020