LESLIE JAY BLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048252

License Status

ACTIVE

Business

First Name

LESLIE JAY

Last Name

BLOCK

Suffix

Business Name

LESLIE JAY BLOCK MD

Original Issue Date

09/19/1973

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/03/2023