ANN MARIE DOLAN LEAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

ANN MARIE

Last Name

DOLAN LEAL

Business Name

ANN MARIE DOLAN LEAL

Original Issue Date

03/02/1994

Effective Date

03/02/1994

Expiration Date

09/30/1996

City

ROSELLE

State

Zip

60172

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005