LESLIE L SIMONTON-SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014554

License Status

EXPIRED

Business

First Name

LESLIE

Middle

Last Name

SIMONTON-SMITH

Suffix

Business Name

LESLIE L SIMONTON-SMITH MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/28/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006