LEOPOLDO M BASILICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131046

License Status

NOT RENEWED

Business

Title

First Name

LEOPOLDO

Middle

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

City

EL DORADO HILLS

State

Zip

95762

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/30/2023