FAWN A LEIGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

FAWN

Middle

Last Name

LEIGH

Business Name

FAWN A LEIGH

Original Issue Date

08/23/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DURHAM

State

Zip

27710

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020