IRVING JEROME LEONARD DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

CANCELLED

Business

First Name

IRVING JEROME

Last Name

LEONARD

Suffix

DDS

Business Name

IRVING JEROME LEONARD DDS

Original Issue Date

01/01/1998

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2012