LESLIE M RICKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105773

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

RICKEY

Suffix

Business Name

LESLIE M RICKEY MD

Original Issue Date

10/25/2001

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

BALTIMORE

State

Zip

21201

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/14/2011