LESLIE WILLIAM MILLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053232

License Status

NOT RENEWED

Business

First Name

LESLIE WILLIAM

Last Name

MILLER

Suffix

Business Name

LESLIE WILLIAM MILLER MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

Expiration Date

07/01/1978

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/14/2008