ROBERT THOMAS LESAGE JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013394

License Status

INACTIVE

Business

First Name

ROBERT THOMAS

Last Name

LESAGE JR

Suffix

DDS

Business Name

ROBERT THOMAS LESAGE JR DDS

Original Issue Date

07/16/1968

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/14/2012