ILEANA M LEYVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028962

License Status

EXPIRED

Business

First Name

ILEANA M

Last Name

LEYVA

Business Name

ILEANA M LEYVA

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006