LEON A POVEDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035614

License Status

EXPIRED

Business

First Name

LEON

Middle

Last Name

POVEDA

Business Name

LEON A POVEDA

Original Issue Date

03/08/1997

Effective Date

03/08/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006