LESLEY MEGAN DAVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

MEGAN

Last Name

DAVILA

Suffix

Business Name

LESLEY MEGAN DAVILA MD

Original Issue Date

06/06/2011

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017