RANDOLFO DE LEON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

RANDOLFO

Last Name

DE LEON

Business Name

RANDOLFO DE LEON

Original Issue Date

07/08/1983

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017