JOAN CAMPBELL LEAVENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069122

License Status

EXPIRED

Business

Title

First Name

JOAN

Middle

CAMPBELL

Last Name

LEAVENS

Business Name

JOAN CAMPBELL LEAVENS MD

Original Issue Date

06/27/2016

Effective Date

06/27/2016

Expiration Date

06/26/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017