LEO MIKEL COLEMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005684

License Status

NOT RENEWED

Business

First Name

LEO MIKEL

Last Name

COLEMAN

Business Name

LEO MIKEL COLEMAN

Original Issue Date

11/03/1958

Effective Date

11/03/1958

City

GRANITE CITY

State

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005