LEONARDO RAFAEL HORMAZA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115444

License Status

INACTIVE

Business

First Name

LEONARDO

Middle

RAFAEL

Last Name

HORMAZA

Suffix

Business Name

LEONARDO RAFAEL HORMAZA MD

Original Issue Date

03/16/2006

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011