KONRAD JAN LEBIODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

KONRAD

Middle

JAN

Last Name

LEBIODA

Business Name

KONRAD JAN LEBIODA MD

Original Issue Date

05/19/2009

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021