LEONEL ANTONIO URDANETA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

LEONEL

Middle

ANTONIO

Last Name

URDANETA

Business Name

LEONEL ANTONIO URDANETA MD

Original Issue Date

06/17/2010

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023