LEONARD M SPISHAKOFF Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

LEONARD M

Last Name

SPISHAKOFF

Business Name

LEONARD M SPISHAKOFF

Original Issue Date

10/19/2020

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023