LESLIE BETH LEICHT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

BETH

Last Name

LEICHT

Business Name

LESLIE BETH LEICHT

Original Issue Date

03/25/2002

Effective Date

03/25/2002

Expiration Date

07/31/2005

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006