LESLIE JOHANNA KLECZEK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

Title

DMD

First Name

LESLIE

Middle

JOHANNA

Last Name

KLECZEK

Business Name

LESLIE JOHANNA KLECZEK DMD

Original Issue Date

09/28/2016

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

GALVA

State

Zip

61434

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024