DAVID LESLIE ZISOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

DAVID LESLIE

Last Name

ZISOW

Suffix

Business Name

DAVID LESLIE ZISOW MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006