ERNEST ADAM LEIPOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049139

License Status

NOT RENEWED

Business

First Name

ERNEST ADAM

Last Name

LEIPOLD

Suffix

Business Name

ERNEST ADAM LEIPOLD MD

Original Issue Date

05/04/1974

Effective Date

05/04/1974

City

PEORIA

State

Zip

61601

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006