MARGO LARISSA LEATHERWOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076199

License Status

CANCELLED

Business

Title

First Name

MARGO

Middle

LARISSA

Last Name

LEATHERWOOD

Business Name

MARGO LARISSA LEATHERWOOD MD

Original Issue Date

03/01/2021

Effective Date

03/01/2021

Expiration Date

06/30/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/01/2021