ROBERT THOMAS LESAGE JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

ROBERT THOMAS

Last Name

LESAGE JR

Suffix

DDS

Business Name

ROBERT THOMAS LESAGE JR DDS

Original Issue Date

01/01/1998

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016