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*****38

License Status

NOT RENEWED

Business

Title

First Name

LEONEEN

Middle

Last Name

WOODARD-FAUST

Business Name

LEONEEN H WOODARD-FAUST MD

Original Issue Date

09/16/2005

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021