DEBRA R LEAZENBY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011336

License Status

INACTIVE

Business

First Name

DEBRA

Middle

Last Name

LEAZENBY

Business Name

DEBRA R LEAZENBY

Original Issue Date

06/27/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BUCHANAN

State

Zip

49107

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/04/2009