LESLIE A CALDARELLI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

LESLIE

Middle

Last Name

CALDARELLI

Business Name

LESLIE A CALDARELLI

Original Issue Date

04/08/2004

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023