PAUL ANTHONY LEO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074227

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

ANTHONY

Last Name

LEO

Business Name

PAUL ANTHONY LEO MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60651

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/21/2019