KEITH EDWIN LEAP II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132111

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

EDWIN

Last Name

LEAP

Suffix

Business Name

KEITH EDWIN LEAP II MD

Original Issue Date

03/22/2013

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

TAMASSEE

State

Zip

29686

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

11/01/2017