CHARLES MARSHALL LIEDER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136846

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

MARSHALL

Last Name

LIEDER

Business Name

CHARLES MARSHALL LIEDER DO

Original Issue Date

11/24/2014

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023