CHARMAINE AUDREY LEONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

CHARMAINE

Middle

AUDREY

Last Name

LEONG

Business Name

CHARMAINE AUDREY LEONG

Original Issue Date

01/14/2002

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

DELRAY BEACH

State

Zip

33484

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012