ELIZABETH ANN VANLEEUWEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025520

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

VANLEEUWEN

Business Name

ELIZABETH ANN VANLEEUWEN

Original Issue Date

03/26/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ALBUQUERQUE

State

Zip

87120

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/08/2006