LESLIE A MELIDOSIAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

MELIDOSIAN

Business Name

LESLIE A MELIDOSIAN

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

01/31/1993

City

ALLEN PARK

State

Zip

48101

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006