LEONID AYZENBERG - Medical Doctor License in Illinois | # 125030982

LEONID AYZENBERG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030982

License Status

EXPIRED

Business

N

First Name

LEONID

Last Name

AYZENBERG

Business Name

LEONID AYZENBERG

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

09/22/2006