LESLIE ANNE THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149969

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

ANNE

Last Name

THOMPSON

Business Name

LESLIE ANNE THOMPSON MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

01/14/2021