LESLIE RENEE DECEAULT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013341

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

RENEE

Last Name

DECEAULT

Business Name

LESLIE RENEE DECEAULT

Original Issue Date

07/15/2010

Effective Date

09/09/2015

Expiration Date

09/30/2018

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018