WILLIAM FRED LEAVITT DDS - Dentist License in Illinois | # 021000874

WILLIAM FRED LEAVITT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000874

License Status

NOT RENEWED

Business

N

First Name

WILLIAM FRED

Last Name

LEAVITT

Suffix

DDS

Business Name

WILLIAM FRED LEAVITT DDS

Original Issue Date

01/16/1976

Effective Date

06/13/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

N

LastModifiedDate

05/09/2022