LISA E HARSTON-LEDOUX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

LISA E

Last Name

HARSTON-LEDOUX

Suffix

Business Name

LISA E HARSTON-LEDOUX MD

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006