LESLIE SUE STARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000119

License Status

EXPIRED

Business

First Name

LESLIE

Middle

SUE

Last Name

STARK

Suffix

Business Name

LESLIE SUE STARK MD

Original Issue Date

01/29/2001

Effective Date

01/29/2001

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006