ELIZABETH A LEISTIKOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

LEISTIKOW

Suffix

Business Name

ELIZABETH A LEISTIKOW MD

Original Issue Date

01/30/1998

Effective Date

01/30/1998

Expiration Date

07/31/1999

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006