The holder whose full name is LEONIDAS, EDGARDO G,come from WILLOWBROOK IL,hold the Physician license(NO.01036453A) which status is Expired Non-Renewable.
Name | LEONIDAS, EDGARDO G |
---|---|
License Number | 01036453A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WILLOWBROOK |
State | IL |