LEROY D WOMBOLD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071553

License Status

INACTIVE

Business

First Name

LEROY D

Last Name

WOMBOLD

Suffix

Business Name

LEROY D WOMBOLD MD

Original Issue Date

08/16/1985

Effective Date

08/16/1985

Expiration Date

07/31/2005

City

CLINTON

State

Zip

64735

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/28/2017