LEONIDAS THEODORO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046609

License Status

ACTIVE

Business

First Name

LEONIDAS

Last Name

THEODORO

Suffix

Business Name

LEONIDAS THEODORO MD

Original Issue Date

10/19/1972

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

08/02/2023