LESLEY E BRINKMAN-MOSIMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

LESLEY E

Last Name

BRINKMAN-MOSIMAN

Suffix

Business Name

LESLEY E BRINKMAN-MOSIMAN MD

Original Issue Date

04/08/1988

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61555

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021