LESLIE STANISLAUS ANEWENAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

STANISLAUS

Last Name

ANEWENAH

Business Name

LESLIE STANISLAUS ANEWENAH MD

Original Issue Date

05/14/2019

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023