LESLIE MENDOZA TEMPLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042183

License Status

EXPIRED

Business

First Name

LESLIE

Middle

MENDOZA

Last Name

TEMPLE

Suffix

Business Name

LESLIE MENDOZA TEMPLE MD

Original Issue Date

10/04/2000

Effective Date

10/04/2000

Expiration Date

10/03/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006