STEWART J LEEDHAM DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****82

License Status

CANCELLED

Business

First Name

STEWART J

Last Name

LEEDHAM

Suffix

DPM

Business Name

STEWART J LEEDHAM DPM

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

01/31/2007

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006