GUSTAVO ADOLFO LEAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026590

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Middle

ADOLFO

Last Name

LEAL

Suffix

DDS

Business Name

GUSTAVO ADOLFO LEAL DDS

Original Issue Date

09/23/2004

Effective Date

03/03/2010

Expiration Date

09/30/2012

City

KANSAS CITY

State

Zip

64112

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2012