LEO VAUN MIKESELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014752

License Status

NOT RENEWED

Business

First Name

LEO VAUN

Last Name

MIKESELL

Suffix

DDS

Business Name

LEO VAUN MIKESELL DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

Expiration Date

09/30/1984

City

SALT LAKE CITY

State

Zip

84102

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005