Leslie Lisdell

Controlled Substance Registration - Physician

Indiana  01058894B   Expired

This Indiana license was held by Leslie Lisdell. The license is no longer active. It was granted on 05/05/2004 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: 01058894B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 05/05/2004 (about 22 years ago)
  • Expiry Date: 06/30/2005 (almost 21 years ago)

LOCATIONS

A Address

P O Box 70, Pekin IN 47165