LEONID FEODOR SAMODELOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150909

License Status

NOT RENEWED

Business

Title

First Name

LEONID

Middle

FEODOR

Last Name

SAMODELOV

Business Name

LEONID FEODOR SAMODELOV MD

Original Issue Date

10/01/2019

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

FAIRVIEW PARK

State

Zip

44126

Ever Disciplined

LastModifiedDate

11/30/2023