KATHLEEN ANNE LEISTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001790

License Status

NOT RENEWED

Business

First Name

KATHLEEN ANNE

Last Name

LEISTEN

Business Name

KATHLEEN ANNE LEISTEN

Original Issue Date

07/13/1972

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016