CHARLES JOSEPH LEIPHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041776

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

JOSEPH

Last Name

LEIPHART

Suffix

Business Name

CHARLES JOSEPH LEIPHART MD

Original Issue Date

07/01/1968

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MUNCIE

State

Zip

47304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011