LESLIE M FOX Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083369

License Status

INACTIVE

Business

First Name

LESLIE M

Last Name

FOX

Business Name

LESLIE M FOX

Original Issue Date

09/04/1991

Effective Date

09/04/1991

Expiration Date

07/31/1999

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006