LESLIE L LAGERQUIST DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013861

License Status

INACTIVE

Business

First Name

LESLIE L

Last Name

LAGERQUIST

Suffix

DDS

Business Name

LESLIE L LAGERQUIST DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1996

City

TOMBALL

State

Zip

77375

County

TEXAS

Ever Disciplined

LastModifiedDate

10/12/2005