KATHLEEN ANNE LEISTEN - Dentist License in Illinois | # 020001790

KATHLEEN ANNE LEISTEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001790

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN ANNE

Last Name

LEISTEN

Business Name

KATHLEEN ANNE LEISTEN

Original Issue Date

07/13/1972

Effective Date

09/13/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016