LESLIE MARIE WADDELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

MARIE

Last Name

WADDELL

Business Name

LESLIE MARIE WADDELL MD

Original Issue Date

07/02/2015

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023