CHARLES LEO CONLEY DO - Medical Doctor License in Illinois | # 125042697

CHARLES LEO CONLEY DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042697

License Status

CANCELLED

Business

N

First Name

CHARLES

Middle

LEO

Last Name

CONLEY

Suffix

DO

Business Name

CHARLES LEO CONLEY DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/19/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006