LEONARDO ALDECOA GAN-LIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

LEONARDO

Middle

ALDECOA

Last Name

GAN-LIM

Suffix

Business Name

LEONARDO ALDECOA GAN-LIM MD

Original Issue Date

12/11/2001

Effective Date

12/11/2001

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006