CHARLES THOMAS LEEWOOD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115155

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

THOMAS

Last Name

LEEWOOD

Suffix

Business Name

CHARLES THOMAS LEEWOOD DO

Original Issue Date

01/26/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008