JERROLD BLAIR LEIKIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

JERROLD BLAIR

Last Name

LEIKIN

Suffix

Business Name

JERROLD BLAIR LEIKIN MD

Original Issue Date

08/19/1981

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023