AUDREY MARTEL LESLIE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

AUDREY

Middle

MARTEL

Last Name

LESLIE

Business Name

AUDREY MARTEL LESLIE

Original Issue Date

10/04/2012

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60626

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025