LESLIE M FOX - Medical Doctor License in Wisconsin | # 036083369

LESLIE M FOX

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083369

License Status

INACTIVE

Business

N

First Name

LESLIE M

Last Name

FOX

Business Name

LESLIE M FOX

Original Issue Date

09/04/1991

Effective Date

09/04/1991

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006