LESLIE ANDREA ANDERSON MD - Medical Doctor License in Illinois | # 125071313

LESLIE ANDREA ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071313

License Status

EXPIRED

Business

N

Title

MD

First Name

LESLIE

Middle

ANDREA

Last Name

ANDERSON

Business Name

LESLIE ANDREA ANDERSON MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

11/19/2020