EROS LEOTTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055567

License Status

CANCELLED

Business

First Name

EROS

Last Name

LEOTTA

Business Name

EROS LEOTTA

Original Issue Date

08/15/2008

Effective Date

08/15/2008

Expiration Date

08/14/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced Cardiac Surgery

Ever Disciplined

LastModifiedDate

08/15/2008