LEON E DEPREST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077803

License Status

INACTIVE

Business

First Name

LEON

Middle

Last Name

DEPREST

Suffix

Business Name

LEON E DEPREST MD

Original Issue Date

10/02/1988

Effective Date

06/28/2019

Expiration Date

09/30/2020

City

ALBUQUERQUE

State

Zip

87104

Ever Disciplined

LastModifiedDate

04/05/2020