LESLIE KLEMENS - Dentist License in Wisconsin | # 020000732

LESLIE KLEMENS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000732

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Last Name

KLEMENS

Business Name

LESLIE KLEMENS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005