LEONEL ANTONIO URDANETA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042804

License Status

EXPIRED

Business

Title

First Name

LEONEL

Middle

ANTONIO

Last Name

URDANETA

Business Name

LEONEL ANTONIO URDANETA MD

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/18/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/08/2009