LEAH REBEKAH TEKLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

REBEKAH

Last Name

TEKLE

Business Name

LEAH REBEKAH TEKLE

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

09/30/2015

City

TEMPE

State

Zip

85282

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016