LEONARDO L RENEGADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048066

License Status

NOT RENEWED

Business

First Name

LEONARDO L

Last Name

RENEGADO

Suffix

Business Name

LEONARDO L RENEGADO MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1990

City

FORT RECOVERY

State

Zip

45846

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006