BENJAMIN HUGHSTON LEISHMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

HUGHSTON

Last Name

LEISHMAN

Business Name

BENJAMIN HUGHSTON LEISHMAN OD

Original Issue Date

06/22/2009

Effective Date

01/11/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012