LEONILA S QUIAMBAO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

LEONILA

Middle

Last Name

QUIAMBAO

Suffix

Business Name

LEONILA S QUIAMBAO MD

Original Issue Date

10/03/2006

Effective Date

10/03/2006

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008