LEANN ALISON BURCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

LEANN

Middle

ALISON

Last Name

BURCH

Suffix

DMD

Business Name

LEANN ALISON BURCH DMD

Original Issue Date

07/20/2004

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024