LEONARDO PROTASIO JORGE DE OLIVEIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

LEONARDO

Middle

PROTASIO JORGE DE

Last Name

OLIVEIRA

Business Name

LEONARDO PROTASIO JORGE DE OLIVEIRA MD

Original Issue Date

08/22/2016

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021