LESLIE ALLAN DEANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ALLAN

Last Name

DEANE

Suffix

Business Name

LESLIE ALLAN DEANE MD

Original Issue Date

08/10/2007

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

MIAMI

State

Zip

33125

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021