LESLIE JAY BLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

LESLIE JAY

Last Name

BLOCK

Suffix

Business Name

LESLIE JAY BLOCK MD

Original Issue Date

07/31/1990

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023