LESLIE E BERNSTEIN - Medical Doctor License in Illinois | # 125041388

LESLIE E BERNSTEIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041388

License Status

EXPIRED

Business

N

First Name

LESLIE

Middle

E

Last Name

BERNSTEIN

Business Name

LESLIE E BERNSTEIN

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

09/22/2006