RICHARD LEIGH HOFFMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000697

License Status

INACTIVE

Business

First Name

RICHARD LEIGH

Last Name

HOFFMAN

Business Name

RICHARD LEIGH HOFFMAN

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005