LEO JEROME ANKENBRANDT Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034813

License Status

INACTIVE

Business

First Name

LEO JEROME

Last Name

ANKENBRANDT

Business Name

LEO JEROME ANKENBRANDT

Original Issue Date

08/16/1957

Effective Date

08/16/1957

Expiration Date

07/31/1987

City

GLENDALE

State

Zip

85306

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/20/2006