LESLIE KLEMENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000732

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

KLEMENS

Business Name

LESLIE KLEMENS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005