SHIRLEY A LESAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006545

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

LESAK

Business Name

SHIRLEY A LESAK

Original Issue Date

09/19/1987

Effective Date

09/19/1987

Expiration Date

09/30/1988

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005