LEILANI E LABIANCO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

LEILANI E

Last Name

LABIANCO

Business Name

LEILANI E LABIANCO

Original Issue Date

06/17/2021

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2023