DAVID C LEACH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

LEACH

Suffix

Business Name

DAVID C LEACH MD

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008