LESLIE ALEXANDER ST ROYAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

ALEXANDER

Last Name

ST ROYAL

Business Name

LESLIE ALEXANDER ST ROYAL MD

Original Issue Date

12/10/2015

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2024