RICHARD ROYAL LEITZEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005466

License Status

NOT RENEWED

Business

Title

DPM

First Name

RICHARD

Middle

ROYAL

Last Name

LEITZEN

Business Name

RICHARD ROYAL LEITZEN DPM

Original Issue Date

03/14/2011

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/11/2021