STUART R LESEMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

STUART R

Last Name

LESEMANN

Business Name

STUART R LESEMANN

Original Issue Date

10/19/1984

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

CARROLLTON

State

Zip

62016

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016