ELIZABETH ANN VANLEEUWEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001242

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

VANLEEUWEN

Business Name

ELIZABETH ANN VANLEEUWEN

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005