LEON MARCELL HUDDLESTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

LEON

Middle

MARCELL

Last Name

HUDDLESTON

Suffix

Business Name

LEON MARCELL HUDDLESTON MD

Original Issue Date

06/10/2005

Effective Date

06/10/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020