MARK P LEISCHNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

LEISCHNER

Business Name

MARK P LEISCHNER

Original Issue Date

01/21/2004

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020