TICIANA DEALMEIDA LEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

TICIANA

Middle

DEALMEIDA

Last Name

LEAL

Suffix

Business Name

TICIANA DEALMEIDA LEAL MD

Original Issue Date

02/20/2007

Effective Date

02/20/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017