LESLIE BETH LEICHT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106482

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

BETH

Last Name

LEICHT

Business Name

LESLIE BETH LEICHT

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

07/31/2005

City

ALPENA

State

Zip

49707

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/21/2012