GIGI M LE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

GIGI

Middle

Last Name

Business Name

GIGI M LE

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

07/31/2005

City

ROUND LAKE

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006