MAYUMI LE CAYDE LESLIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

MAYUMI

Middle

Last Name

CAYDE LESLIE

Business Name

MAYUMI LE CAYDE LESLIE MD

Original Issue Date

01/13/2021

Effective Date

01/13/2021

Expiration Date

07/31/2023

City

OSHKOSH

State

Zip

54902

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023