EUGENE ROLLUQUI LEYBLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000629

License Status

EXPIRED

Business

First Name

EUGENE

Middle

ROLLUQUI

Last Name

LEYBLE

Suffix

Business Name

EUGENE ROLLUQUI LEYBLE MD

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/25/2006