LEONARD M SPISHAKOFF Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030468

License Status

EXPIRED

Business

First Name

LEONARD M

Last Name

SPISHAKOFF

Business Name

LEONARD M SPISHAKOFF

Original Issue Date

06/24/1993

Effective Date

06/24/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006