LESLIE DALAZA MATTSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131651

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

DALAZA

Last Name

MATTSON

Business Name

LESLIE DALAZA MATTSON MD

Original Issue Date

10/25/2012

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/05/2023