LESLIE GABRIELLA RAMIREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

LESLIE GABRIELLA

Last Name

RAMIREZ

Suffix

Business Name

LESLIE GABRIELLA RAMIREZ MD

Original Issue Date

07/22/1996

Effective Date

07/22/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017