LESLIE MENDOZA TEMPLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

LESLIE

Middle

MENDOZA

Last Name

TEMPLE

Suffix

Business Name

LESLIE MENDOZA TEMPLE MD

Original Issue Date

04/10/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023