DAVID L LEADER JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029506

License Status

EXPIRED

Business

First Name

DAVID L

Last Name

LEADER JR

Suffix

Business Name

DAVID L LEADER JR DO

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006