LESLIE POTTER LAWLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

LESLIE

Middle

POTTER

Last Name

LAWLEY

Suffix

Business Name

LESLIE POTTER LAWLEY MD

Original Issue Date

09/21/2005

Effective Date

09/21/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008