LESLEE DYHANNE RUTHERFORD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000699

License Status

ACTIVE

Business

First Name

LESLEE

Middle

DYHANNE

Last Name

RUTHERFORD

Suffix

DDS

Business Name

LESLEE DYHANNE RUTHERFORD DDS

Original Issue Date

04/18/2007

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

FLOSSMOOR

State

Zip

60422

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/06/2024