LEON ALLEN ASSAEL DMD

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****68

NOT RENEWED

N

LEON ALLEN

ASSAEL

DMD

LEON ALLEN ASSAEL DMD

01/01/1998

06/01/1982

GODFREY

IL

62035

MADISON

II III IV V

N

10/13/2005