LESLIE JACK LUALLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008217

License Status

NOT RENEWED

Business

First Name

LESLIE JACK

Last Name

LUALLEN

Suffix

DDS

Business Name

LESLIE JACK LUALLEN DDS

Original Issue Date

08/15/1941

Effective Date

08/15/1941

City

PORTSMOUTH

State

Zip

02871

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

10/12/2005