LESLIE S MASSAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

LESLIE S

Last Name

MASSAD

Suffix

Business Name

LESLIE S MASSAD MD

Original Issue Date

05/14/1992

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63105

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023