CHARLES MARSHALL LIEDER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059725

License Status

CANCELLED

Business

Title

First Name

CHARLES

Middle

MARSHALL

Last Name

LIEDER

Business Name

CHARLES MARSHALL LIEDER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/23/2014