LEROY H SPALT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

LEROY H

Last Name

SPALT

Suffix

Business Name

LEROY H SPALT MD

Original Issue Date

01/01/1997

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017