LEONARD DIMITRI DASILVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

LEONARD

Middle

DIMITRI

Last Name

DASILVA

Suffix

Business Name

LEONARD DIMITRI DASILVA MD

Original Issue Date

05/12/2016

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

TALLAHASSEE

State

Zip

32312

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021