ELIZABETH A LEISTIKOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083714

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

LEISTIKOW

Suffix

Business Name

ELIZABETH A LEISTIKOW MD

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

07/31/1999

City

LYNN HAVEN

State

Zip

32444

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006