LEONID FEFERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124680

License Status

NOT RENEWED

Business

Title

First Name

LEONID

Last Name

FEFERMAN

Business Name

LEONID FEFERMAN MD

Original Issue Date

12/01/2009

Effective Date

12/01/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011