LESLEY T WILCOXSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

LESLEY T

Last Name

WILCOXSON

Suffix

Business Name

LESLEY T WILCOXSON MD

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

07/31/2008

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008