DOMINGO D J LEONIDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DOMINGO D J

Last Name

LEONIDA

Suffix

Business Name

DOMINGO D J LEONIDA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006