PHILIP BRIAN LEEDS DMD MD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015796

License Status

INACTIVE

Business

First Name

PHILIP BRIAN

Last Name

LEEDS

Suffix

DMD MD

Business Name

PHILIP BRIAN LEEDS DMD MD

Original Issue Date

01/07/1977

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

06/08/2015

Case Number

1982000060

Action

Suspension

Discipline Start Date

01/19/1984

Discipline End Date

06/16/1987