LEONARDO CLAUDIO PROFENNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087938

License Status

NOT RENEWED

Business

First Name

LEONARDO CLAUDIO

Last Name

PROFENNA

Suffix

Business Name

LEONARDO CLAUDIO PROFENNA MD

Original Issue Date

01/21/1994

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014