LESLEY NICOLE BEVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049093

License Status

EXPIRED

Business

First Name

LESLEY

Middle

NICOLE

Last Name

BEVAN

Suffix

Business Name

LESLEY NICOLE BEVAN MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/26/2008