CHARLES LESLIE LANSFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042134

License Status

NOT RENEWED

Business

First Name

CHARLES LESLIE

Last Name

LANSFORD

Suffix

Business Name

CHARLES LESLIE LANSFORD MD

Original Issue Date

09/27/1968

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017