GONZALO LIEVANO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028468

License Status

EXPIRED

Business

First Name

GONZALO

Last Name

LIEVANO

Business Name

GONZALO LIEVANO

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006