License holder summary

BLANK, LEO, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLANK, LEO, MD is 1543 FORDHAM COURT, MOUNTAIN VIEW 94040. This doctor license is not current. The license was granted 02/15/1979 and expired on 12/31/1981.

Georgia

Composite Medical Board

BLANK, LEO, MD
Medical - Physician
License number
020299
Date granted
02/15/1979
Date expires
12/31/1981
Class
Medical - Physician
Status
Deceased
Address
1543 FORDHAM COURT
georgiadoctors.net
ID 38029032
LAST UPDATED 2024-02-15 04:33:17 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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