LEON MARCELL HUDDLESTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

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

07/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020