CANDANCE LEAPHART-ST CLOUD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113883

License Status

NOT RENEWED

Business

First Name

CANDANCE

Last Name

LEAPHART-ST CLOUD

Suffix

Business Name

CANDANCE LEAPHART-ST CLOUD DO

Original Issue Date

06/15/2005

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017