Kathleen Anne Leisten
ExpiredIllinois license 020001790
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020001790
- Status
- Expired (Not Renewed)
- First issued
- July 13, 1972
- Expired
- September 30, 2015
- License holder
- Kathleen Anne Leisten
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/13/2012
Contact
Hinsdale, IL 60521
Dupage County