CHARLES THOMAS LEEWOOD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046661

License Status

EXPIRED

Business

First Name

CHARLES

Middle

THOMAS

Last Name

LEEWOOD

Suffix

Business Name

CHARLES THOMAS LEEWOOD DO

Original Issue Date

06/06/2003

Effective Date

06/06/2003

Expiration Date

06/30/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006