LEON A FOGELFELD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021753

License Status

EXPIRED

Business

First Name

LEON A

Last Name

FOGELFELD

Business Name

LEON A FOGELFELD

Original Issue Date

10/07/1987

Effective Date

10/07/1987

Expiration Date

10/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006