LESLIE JACK LUALLEN DDS - Dentist License in Rhode Island | # 019008217

LESLIE JACK LUALLEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008217

License Status

NOT RENEWED

Business

N

First Name

LESLIE JACK

Last Name

LUALLEN

Suffix

DDS

Business Name

LESLIE JACK LUALLEN DDS

Original Issue Date

08/15/1941

Effective Date

08/15/1941

State

RI

Ever Disciplined

N

LastModifiedDate

10/12/2005