WILLIAM FRED LEAVITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000874

License Status

NOT RENEWED

Business

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

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

05/09/2022