LE ROY A PESCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046698

License Status

NOT RENEWED

Business

First Name

LE ROY A

Last Name

PESCH

Suffix

Business Name

LE ROY A PESCH MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

07/31/1996

City

SUN VALLEY

State

Zip

83353

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006