NATHAN DONN LEISKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

Title

DDS

First Name

NATHAN

Middle

DONN

Last Name

LEISKE

Business Name

NATHAN DONN LEISKE DDS

Original Issue Date

08/17/2016

Effective Date

06/16/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2024