ILEANA M LEYVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ILEANA M

Last Name

LEYVA

Business Name

ILEANA M LEYVA

Original Issue Date

10/03/1994

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017