LESLIE ANN FERNANDEZ - Dentist License in Illinois | # 020014172

LESLIE ANN FERNANDEZ

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014172

License Status

INACTIVE

Business

N

First Name

LESLIE

Middle

ANN

Last Name

FERNANDEZ

Business Name

LESLIE ANN FERNANDEZ

Original Issue Date

09/10/2012

Effective Date

09/01/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/07/2018