RICHARD LEIGH HOFFMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009043

License Status

NOT RENEWED

Business

First Name

RICHARD LEIGH

Last Name

HOFFMAN

Business Name

RICHARD LEIGH HOFFMAN

Original Issue Date

08/14/1946

Effective Date

08/14/1946

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005