ROBERT W LEACH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074058

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

LEACH

Suffix

Business Name

ROBERT W LEACH DO

Original Issue Date

10/30/1986

Effective Date

10/30/1986

Expiration Date

07/31/1990

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

02/03/2011