Indiana
Professional Licensing Agency
Leslie Lisdell
Controlled Substance Registration - Physician
License number
01058894B
Date granted
05/05/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O Box 70, Pekin IN 47165
indianalicensing.org
ID 5909170
LAST UPDATED 2026-03-23 15:24:37 UTC
LAST UPDATED 2026-03-23 15:24:37 UTC
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