LESLIE WALD SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169858

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

WALD

Last Name

SMITH

Business Name

LESLIE WALD SMITH DO

Original Issue Date

04/14/2024

Effective Date

04/14/2024

Expiration Date

07/31/2026

City

PLYMOUTH

State

Zip

55447

Ever Disciplined

LastModifiedDate

04/14/2024