GUILLERMO A DE LEON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

GUILLERMO A

Last Name

DE LEON

Suffix

Business Name

GUILLERMO A DE LEON MD

Original Issue Date

07/27/1992

Effective Date

07/27/1992

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008