LEAH LOUISE OTTEN - Dentist License in Illinois | # 020012823

LEAH LOUISE OTTEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012823

License Status

NOT RENEWED

Business

N

First Name

LEAH

Middle

LOUISE

Last Name

OTTEN

Business Name

LEAH LOUISE OTTEN

Original Issue Date

06/03/2009

Effective Date

06/03/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012