LESLIE FENIO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

LESLIE

Last Name

FENIO

Business Name

LESLIE FENIO

Original Issue Date

05/25/2021

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026