PHILIP BRIAN LEEDS DMD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

PHILIP BRIAN

Last Name

LEEDS

Suffix

DMD MD

Business Name

PHILIP BRIAN LEEDS DMD MD

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

07/31/1999

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

04/05/2020