LEANDRO ANTONIO MENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

LEANDRO

Middle

ANTONIO

Last Name

MENA

Business Name

LEANDRO ANTONIO MENA

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006