WALTER LOUIS LEEKS III DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029327

License Status

NOT RENEWED

Business

Title

DMD

First Name

WALTER

Middle

LOUIS

Last Name

LEEKS

Suffix

III

Business Name

WALTER LOUIS LEEKS III DMD

Original Issue Date

03/18/2013

Effective Date

03/18/2013

Expiration Date

09/30/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/08/2016