OLGA SERGEEVNA LEAVITT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061048

License Status

CANCELLED

Business

First Name

OLGA

Middle

SERGEEVNA

Last Name

LEAVITT

Suffix

Business Name

OLGA SERGEEVNA LEAVITT MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

04/07/2016