LISA M JUELS-LEEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000200

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

JUELS-LEEK

Business Name

LISA M JUELS-LEEK

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

07/10/1989

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005