THOMAS LAURENCE LEITNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

LAURENCE

Last Name

LEITNER

Suffix

Business Name

THOMAS LAURENCE LEITNER MD

Original Issue Date

12/09/1998

Effective Date

12/09/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006