FLORENTINO W LEONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

FLORENTINO

Middle

Last Name

LEONG

Suffix

Business Name

FLORENTINO W LEONG MD

Original Issue Date

09/04/1987

Effective Date

08/01/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021