LESLIE E BOTNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126695

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

Last Name

BOTNICK

Business Name

LESLIE E BOTNICK MD

Original Issue Date

09/24/2010

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

MANHATTAN BEACH

State

Zip

90266

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017