PEGGY LEE LEITCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002191

License Status

NOT RENEWED

Business

First Name

PEGGY LEE

Last Name

LEITCH

Business Name

PEGGY LEE LEITCH

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005