LEROY H SPALT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045503

License Status

NOT RENEWED

Business

First Name

LEROY H

Last Name

SPALT

Suffix

Business Name

LEROY H SPALT MD

Original Issue Date

03/27/1972

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

11/01/2017