LESLIE R DAVIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014034

License Status

NOT RENEWED

Business

First Name

LESLIE R

Last Name

DAVIS

Suffix

DMD

Business Name

LESLIE R DAVIS DMD

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1984

City

LOUISVILLE

State

Zip

40241

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/12/2005