LEAH J DVORAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003840

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

Last Name

DVORAK

Business Name

LEAH J DVORAK

Original Issue Date

06/29/1979

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018