AUDREY ERIN HAYWOOD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136977

License Status

NOT RENEWED

Business

Title

First Name

AUDREY

Middle

ERIN

Last Name

HAYWOOD

Business Name

AUDREY ERIN HAYWOOD DO

Original Issue Date

12/29/2014

Effective Date

12/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017