LEONEEN H WOODARD-FAUST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

LEONEEN

Middle

Last Name

WOODARD-FAUST

Business Name

LEONEEN H WOODARD-FAUST MD

Original Issue Date

02/28/2014

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020