NICOLE L LEONARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041592

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

LEONARD

Business Name

NICOLE L LEONARD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006