MEGAN JANELLE VANLIESHOUT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001876

License Status

NOT RENEWED

Business

Title

DDS

First Name

MEGAN

Middle

JANELLE

Last Name

VANLIESHOUT

Business Name

MEGAN JANELLE VANLIESHOUT DDS

Original Issue Date

06/14/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018