ALFONSO VERA DE LEON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

ALFONSO VERA

Last Name

DE LEON

Suffix

Business Name

ALFONSO VERA DE LEON MD

Original Issue Date

08/21/1986

Effective Date

08/21/1986

Expiration Date

07/31/1990

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006