RICHARD STEPHEN LEBANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158657

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

STEPHEN

Last Name

LEBANO

Business Name

RICHARD STEPHEN LEBANO MD

Original Issue Date

10/29/2021

Effective Date

10/29/2021

Expiration Date

07/31/2023

City

SAN DIEGO

State

Zip

92108

Ever Disciplined

LastModifiedDate

11/30/2023