MERVIN NIGEL LEADER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163562

License Status

ACTIVE

Business

Title

First Name

MERVIN

Middle

NIGEL

Last Name

LEADER

Business Name

MERVIN NIGEL LEADER MD

Original Issue Date

01/31/2023

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

Ever Disciplined

LastModifiedDate

07/27/2023