LEANNE C MIHATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127903

License Status

NOT RENEWED

Business

Title

First Name

LEANNE

Middle

Last Name

MIHATA

Business Name

LEANNE C MIHATA MD

Original Issue Date

05/23/2011

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

APO

State

Zip

09012

Ever Disciplined

LastModifiedDate

01/14/2021