NOEL LEET JANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

NOEL LEET

Last Name

JANSEN

Suffix

Business Name

NOEL LEET JANSEN MD

Original Issue Date

02/19/1992

Effective Date

02/19/1992

Expiration Date

07/31/1996

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006