LESLIE ANDREA ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071313

License Status

EXPIRED

Business

Title

First Name

LESLIE

Middle

ANDREA

Last Name

ANDERSON

Business Name

LESLIE ANDREA ANDERSON MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020