YULIUS LEONARD HARYADI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071429

License Status

EXPIRED

Business

Title

First Name

YULIUS

Middle

LEONARD

Last Name

HARYADI

Business Name

YULIUS LEONARD HARYADI MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020