JEFFREY MARC LEIDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MARC

Last Name

LEIDEN

Suffix

Business Name

JEFFREY MARC LEIDEN MD

Original Issue Date

03/05/1993

Effective Date

09/11/2014

Expiration Date

07/31/2017

City

BOSTON

State

Zip

02116

County

MASSACHUSETTS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017