LESLIE MARIE THARENOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046830

License Status

EXPIRED

Business

First Name

LESLIE

Middle

MARIE

Last Name

THARENOS

Suffix

Business Name

LESLIE MARIE THARENOS MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006