LESLIE WALD SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

WALD

Last Name

SMITH

Business Name

LESLIE WALD SMITH DO

Original Issue Date

04/16/2024

Effective Date

04/16/2024

Expiration Date

07/31/2026

City

METROPOLIS

State

Zip

62960

County

MASSAC

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2024