GONZALO LIEVANO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090870

License Status

INACTIVE

Business

First Name

GONZALO

Last Name

LIEVANO

Business Name

GONZALO LIEVANO

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006