LEAH M VAN SLAMBROUCK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

VAN SLAMBROUCK

Business Name

LEAH M VAN SLAMBROUCK

Original Issue Date

03/20/2012

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023