DAVID L LEADER JR DO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279025

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

LEADER JR

Suffix

Business Name

DAVID L LEADER JR DO

Original Issue Date

01/06/1994

Effective Date

01/06/1994

Expiration Date

05/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006