LESLIE ANN RAYBURN SHURSON - Dentist License in Illinois | # 020005692

LESLIE ANN RAYBURN SHURSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005692

License Status

NOT RENEWED

Business

N

First Name

LESLIE ANN

Last Name

RAYBURN SHURSON

Business Name

LESLIE ANN RAYBURN SHURSON

BusinessDBA

RAYBURN LESLIE A.

Original Issue Date

09/10/1984

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

Y

LastModifiedDate

11/04/2009

Case Number

1988002317

Action

Refuse To Renew

Discipline Start Date

09/30/1988

Discipline End Date

01/15/1991