ALFONSO VERA DE LEON MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

INOPERATIVE

Business

First Name

ALFONSO VERA

Last Name

DE LEON

Suffix

Business Name

ALFONSO VERA DE LEON MD

Original Issue Date

07/07/1987

Effective Date

07/07/1987

Expiration Date

07/31/1996

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006