LESLIE R FRAZIER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010889

License Status

INACTIVE

Business

First Name

LESLIE

Middle

Last Name

FRAZIER

Business Name

LESLIE R FRAZIER

Original Issue Date

03/22/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MOSCOW MILLS

State

Zip

63362

Ever Disciplined

LastModifiedDate

07/24/2006