LEO TAIBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040497

License Status

EXPIRED

Business

First Name

LEO

Last Name

TAIBERG

Business Name

LEO TAIBERG

Original Issue Date

08/27/1999

Effective Date

08/27/1999

Expiration Date

08/26/2001

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006