RICHARD ROYAL LEITZEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

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

12/19/2018

Expiration Date

01/31/2021

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021