LESLIE R FAROLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082828

License Status

ACTIVE

Business

First Name

LESLIE R

Last Name

FAROLAN

Suffix

Business Name

LESLIE R FAROLAN MD

Original Issue Date

07/01/1991

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/06/2023