LESLIE A DEAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029507

License Status

EXPIRED

Business

Title

First Name

LESLIE

Middle

Last Name

DEAN

Business Name

LESLIE A DEAN MD

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

06/30/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006