SERGIO E LEAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040422

License Status

EXPIRED

Business

First Name

SERGIO

Middle

Last Name

LEAL

Business Name

SERGIO E LEAL

Original Issue Date

07/15/1999

Effective Date

07/15/1999

Expiration Date

07/14/2002

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006