EDWARD LAURENCE LESLIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

EDWARD LAURENCE

Last Name

LESLIE

Suffix

Business Name

EDWARD LAURENCE LESLIE MD

Original Issue Date

01/01/1997

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011