ALAN C LEAGUE MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****40

ACTIVE

N

MD

ALAN

C

LEAGUE

ALAN C LEAGUE MD

04/28/2005

06/29/2023

07/31/2026

MORTON GROVE

IL

60053

COOK

II III IV V

N

06/29/2023