LEROY WEATHERSBY II Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018404

License Status

NOT RENEWED

Business

First Name

LEROY

Last Name

WEATHERSBY II

Business Name

LEROY WEATHERSBY II

Original Issue Date

10/05/1982

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2011003207

Action

Suspension

Discipline Start Date

10/21/2016

Discipline End Date

01/19/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/23/2017.