LEOPOLDO M BASILICO MD - Medical Doctor License in California | # 036131046

LEOPOLDO M BASILICO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131046

License Status

NOT RENEWED

Business

N

Title

MD

First Name

LEOPOLDO

Middle

M

Last Name

BASILICO

Business Name

LEOPOLDO M BASILICO MD

Original Issue Date

08/02/2012

Effective Date

05/25/2021

Expiration Date

07/31/2023

State

CA

Ever Disciplined

N

LastModifiedDate

11/30/2023