LESLIE A DEAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090988

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

Last Name

DEAN

Business Name

LESLIE A DEAN MD

Original Issue Date

06/22/1995

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/24/2025