KEITH EDWIN LEAP II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

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

06/13/2013

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

TAMASSEE

State

Zip

29686

County

SOUTH CAROLINA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017