WILLIAM CONRAD LESKOVEC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

WILLIAM CONRAD

Last Name

LESKOVEC

Suffix

Business Name

WILLIAM CONRAD LESKOVEC MD

Original Issue Date

06/11/1992

Effective Date

06/11/1992

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006