CHARMAINE AUDREY LEONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000556

License Status

NOT RENEWED

Business

First Name

CHARMAINE

Middle

AUDREY

Last Name

LEONG

Business Name

CHARMAINE AUDREY LEONG

Original Issue Date

04/30/2002

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

DELRAY BEACH

State

Zip

33484

County

FLORIDA

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/14/2012