LESLIE E BOTNICK MD - Medical Doctor License in California | # 33*****74

LESLIE E BOTNICK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

N

Title

MD

First Name

LESLIE

Middle

E

Last Name

BOTNICK

Business Name

LESLIE E BOTNICK MD

Original Issue Date

09/27/2010

Effective Date

04/16/2014

Expiration Date

07/31/2017

State

CA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/01/2017