DAVID LEO SPENCER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061884

License Status

NOT RENEWED

Business

First Name

DAVID LEO

Last Name

SPENCER

Suffix

Business Name

DAVID LEO SPENCER MD

Original Issue Date

03/20/1981

Effective Date

03/20/1981

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006