CANDICE MARIE LEACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066006

License Status

EXPIRED

Business

Title

First Name

CANDICE

Middle

MARIE

Last Name

LEACH

Business Name

CANDICE MARIE LEACH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015