LEON MICHAEL SUJATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

LEON

Middle

MICHAEL

Last Name

SUJATA

Business Name

LEON MICHAEL SUJATA MD

Original Issue Date

04/22/2014

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023