LESLIE JAY BLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

LESLIE JAY

Last Name

BLOCK

Suffix

Business Name

LESLIE JAY BLOCK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020