ANN MARIE DOLAN LEAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000691

License Status

NOT RENEWED

Business

First Name

ANN MARIE

Last Name

DOLAN LEAL

Business Name

ANN MARIE DOLAN LEAL

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005