LESLIE J MINTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074955

License Status

NOT RENEWED

Business

First Name

LESLIE J

Last Name

MINTZ

Suffix

Business Name

LESLIE J MINTZ MD

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2004006766

Action

Refuse To Renew

Discipline Start Date

11/04/2004

Discipline Reason

DISCIPLINED IN CALIFORNIA.