MARCELL LEON LESUEUR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

Title

DMD

First Name

MARCELL

Middle

LEON

Last Name

LESUEUR

Business Name

MARCELL LEON LESUEUR DMD

Original Issue Date

09/11/2013

Effective Date

10/02/2015

Expiration Date

09/30/2018

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018