DANIEL LEONIDAS THEODORO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154277

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

LEONIDAS

Last Name

THEODORO

Business Name

DANIEL LEONIDAS THEODORO MD

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023