LESLIE D WILKE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124060

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

WILKE

Suffix

Business Name

LESLIE D WILKE DO

Original Issue Date

07/21/2009

Effective Date

07/21/2009

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2011