ANNE M LEACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ANNE M

Last Name

LEACH

Suffix

Business Name

ANNE M LEACH MD

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

07/31/1999

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006