LESLIE JANE DAVIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

JANE

Last Name

DAVIS

Business Name

LESLIE JANE DAVIS DO

Original Issue Date

04/22/2021

Effective Date

04/22/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023