LESLIE MAY GIMENEZ 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

Middle

MAY

Last Name

GIMENEZ

Suffix

Business Name

LESLIE MAY GIMENEZ MD

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008