OLGA SERGEEVNA LEAVITT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

OLGA

Middle

SERGEEVNA

Last Name

LEAVITT

Suffix

Business Name

OLGA SERGEEVNA LEAVITT MD

Original Issue Date

06/21/2017

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023