LESLIE ANNE MICHAUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

ANNE

Last Name

MICHAUD

Business Name

LESLIE ANNE MICHAUD MD

Original Issue Date

07/15/2010

Effective Date

03/09/2012

Expiration Date

07/31/2014

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014