LESLIE LIN MATHIAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010963

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

LIN

Last Name

MATHIAS

Business Name

LESLIE LIN MATHIAS

Original Issue Date

06/21/2004

Effective Date

08/03/2009

Expiration Date

09/30/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2012