MARILYN JOY LEEDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003636

License Status

NOT RENEWED

Business

First Name

MARILYN JOY

Last Name

LEEDS

Business Name

MARILYN JOY LEEDS

Original Issue Date

07/27/1978

Effective Date

07/27/1978

Expiration Date

09/30/1984

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005