MIRIAM I REDLEAF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

MIRIAM I

Last Name

REDLEAF

Suffix

Business Name

MIRIAM I REDLEAF MD

Original Issue Date

11/03/1995

Effective Date

03/03/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020