LEONEEN H WOODARD-FAUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065611

License Status

NOT RENEWED

Business

Title

First Name

LEONEEN

Middle

Last Name

WOODARD-FAUST

Business Name

LEONEEN H WOODARD-FAUST MD

Original Issue Date

11/09/1982

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023