SHIRLEY ANN LEACHMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001847

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN

Last Name

LEACHMAN

Business Name

SHIRLEY ANN LEACHMAN

Original Issue Date

07/12/1972

Effective Date

07/12/1972

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005