HUMBERTO RICARDO DE LEON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

NOT RENEWED

N

HUMBERTO

RICARDO

DE LEON

MD

HUMBERTO RICARDO DE LEON MD

04/14/2005

04/22/2014

07/31/2017

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020