CLASINA LESLIE SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047881

License Status

CANCELLED

Business

Title

First Name

CLASINA

Middle

LESLIE

Last Name

SMITH

Business Name

CLASINA LESLIE SMITH MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/04/2007