LE ROY DOCTOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

LE ROY

Last Name

DOCTOR

Suffix

Business Name

LE ROY DOCTOR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006