LEO TAIBERG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

LEO

Last Name

TAIBERG

Business Name

LEO TAIBERG

Original Issue Date

02/22/2002

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023