JOHN G LEASE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

LEASE

Business Name

JOHN G LEASE MD

Original Issue Date

06/11/1985

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014