LESLEY E BRINKMAN-MOSIMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019400

License Status

EXPIRED

Business

First Name

LESLEY E

Last Name

BRINKMAN-MOSIMAN

Suffix

Business Name

LESLEY E BRINKMAN-MOSIMAN MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/01/1989

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006