LESLIE LENNOX WALSH DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072955

License Status

INACTIVE

Business

First Name

LESLIE LENNOX

Last Name

WALSH

Suffix

Business Name

LESLIE LENNOX WALSH DO

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/31/1987

City

LATHRUP VILLAGE

State

Zip

48076

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006