LESLEY E BRINKMAN-MOSIMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076129

License Status

NOT RENEWED

Business

First Name

LESLEY E

Last Name

BRINKMAN-MOSIMAN

Suffix

Business Name

LESLEY E BRINKMAN-MOSIMAN MD

Original Issue Date

10/07/1987

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021