Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****83

NOT RENEWED

N

MD

LEOPOLDO

M

BASILICO

LEOPOLDO M BASILICO MD

08/02/2012

05/25/2021

07/31/2023

EL DORADO HILLS

CA

95762

CALIFORNIA

PRACTITIONER

II III IV V

N

11/30/2023