LESLIE DANIELLE CLEVENGER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DDS

First Name

LESLIE

Middle

DANIELLE

Last Name

CLEVENGER

Business Name

LESLIE DANIELLE CLEVENGER DDS

Original Issue Date

06/02/2010

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024