LEONIDAS THEODORO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

LEONIDAS

Last Name

THEODORO

Suffix

Business Name

LEONIDAS THEODORO MD

Original Issue Date

08/04/2023

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2023