EDWARD LAURENCE LESLIE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039464

License Status

INACTIVE

Business

First Name

EDWARD LAURENCE

Last Name

LESLIE

Suffix

Business Name

EDWARD LAURENCE LESLIE MD

Original Issue Date

11/25/1964

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

06/20/2014