EDWARD A LELONEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065630

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

LELONEK

Suffix

Business Name

EDWARD A LELONEK MD

Original Issue Date

11/09/1982

Effective Date

11/09/1982

Expiration Date

07/31/1984

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2018