MARIANI DEL VALLE SALAZAR LEON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073277

License Status

CANCELLED

Business

Title

First Name

MARIANI

Middle

DEL VALLE

Last Name

SALAZAR LEON

Business Name

MARIANI DEL VALLE SALAZAR LEON MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2018