NIDIA P LEON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034882

License Status

EXPIRED

Business

First Name

NIDIA

Middle

Last Name

LEON

Business Name

NIDIA P LEON

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

06/25/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006