CLAUDIA J ACOSTA LENIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

CLAUDIA

Middle

Last Name

ACOSTA LENIS

Business Name

CLAUDIA J ACOSTA LENIS

Original Issue Date

07/25/2016

Effective Date

07/25/2016

Expiration Date

09/30/2018

City

DAVENPORT

State

Zip

52806

County

SCOTT

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018