SAMANTHA RENAE LEITNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014815

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

RENAE

Last Name

LEITNER

Business Name

SAMANTHA RENAE LEITNER

Original Issue Date

07/30/2014

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

09/18/2024