FRED A LEPORE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056767

License Status

CANCELLED

Business

Title

First Name

FRED

Middle

Last Name

LEPORE

Business Name

FRED A LEPORE DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

FRANKFORT

State

Zip

60423

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/30/2009