LESLIE MURLI MANOHAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

MURLI

Last Name

MANOHAR

Business Name

LESLIE MURLI MANOHAR MD

Original Issue Date

05/04/2015

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023