LEO BRIAN SHIMANOVICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079993

License Status

CANCELLED

Business

Title

First Name

LEO

Middle

BRIAN

Last Name

SHIMANOVICH

Business Name

LEO BRIAN SHIMANOVICH MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/12/2025