LEAH KATHERINE MIDDELBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061612

License Status

CANCELLED

Business

Title

First Name

LEAH

Middle

KATHERINE

Last Name

MIDDELBERG

Business Name

LEAH KATHERINE MIDDELBERG MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014