MICHAEL JAMES LEIDING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

LEIDING

Suffix

Business Name

MICHAEL JAMES LEIDING MD

Original Issue Date

05/27/2004

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017