LEONARDO M ANTARIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

LEONARDO M

Last Name

ANTARIS

Suffix

Business Name

LEONARDO M ANTARIS MD

Original Issue Date

04/04/1996

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52803

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023