COURTNEY L LEDDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

Last Name

LEDDELL

Suffix

Business Name

COURTNEY L LEDDELL MD

Original Issue Date

09/13/2005

Effective Date

09/13/2005

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020