DEAN FREDERICK LESLIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147349

License Status

NOT RENEWED

Business

Title

First Name

DEAN

Middle

FREDERICK

Last Name

LESLIE

Business Name

DEAN FREDERICK LESLIE MD

Original Issue Date

08/28/2018

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

11/30/2023