LEON R 924#CHAMPER

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****59

ACTIVE

N

LEON R

924#CHAMPER

LEON R 924#CHAMPER

08/22/1989

09/09/2024

09/30/2027

NAPERVILLE

IL

60540

DUPAGE

II III IV V

N

09/09/2024