ROBERT S LEISER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

ROBERT

S

LEISER

DO

ROBERT S LEISER DO

06/08/1990

06/08/1990

07/31/1999

DECATUR

IL

62526

MACON

II III IV V

Y

04/12/2017

1995002196

Suspension

11/29/1999

06/30/2004

Alcohol abuse, substance abuse and mental illness.