PHILIP BRIAN LEEDS DMD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097448

License Status

INACTIVE

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

07/24/2017

Expiration Date

09/30/2020

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

04/05/2020