LEONILA S QUIAMBAO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047970

License Status

EXPIRED

Business

First Name

LEONILA

Middle

Last Name

QUIAMBAO

Suffix

Business Name

LEONILA S QUIAMBAO MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/12/2007