RANDOLFO DE LEON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065693

License Status

NOT RENEWED

Business

First Name

RANDOLFO

Last Name

DE LEON

Business Name

RANDOLFO DE LEON

Original Issue Date

11/30/1982

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

INDEPENDENCE

State

Zip

50644

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017