LESLIE PAUL EDGCOMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

LESLIE PAUL

Last Name

EDGCOMB

Suffix

Business Name

LESLIE PAUL EDGCOMB MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020