LESLIE MADRIETTA BARNES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048418

License Status

EXPIRED

Business

First Name

LESLIE

Middle

MADRIETTA

Last Name

BARNES

Suffix

Business Name

LESLIE MADRIETTA BARNES MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006