ANN MARIE DOLAN LEAL - Dentist License in Illinois | # 018000691

ANN MARIE DOLAN LEAL

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000691

License Status

NOT RENEWED

Business

N

First Name

ANN MARIE

Last Name

DOLAN LEAL

Business Name

ANN MARIE DOLAN LEAL

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005