JOSHUA LEE LEAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

LEE

Last Name

LEAL

Suffix

DDS

Business Name

JOSHUA LEE LEAL DDS

Original Issue Date

09/07/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009