LESLIE CARL DUIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

LESLIE CARL

Last Name

DUIS

Suffix

Business Name

LESLIE CARL DUIS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006