LEO TAIBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

LEO

Last Name

TAIBERG

Business Name

LEO TAIBERG

Original Issue Date

12/18/2001

Effective Date

12/18/2001

Expiration Date

07/31/2002

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020