Matthew Joseph Liesen
ExpiredIllinois license 31*****54
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****54
- Status
- Expired (Not Renewed)
- First issued
- June 25, 2015
- Expired
- January 31, 2022
- License holder
- Matthew Joseph Liesen
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 10/03/2018
Other Illinois licenses under this name
-
IL
ActivePeoria, ILExpires Sep 30, 2027
-
IL
ActiveCollinsville, ILExpires Sep 30, 2027
Contact
Peoria, IL 61615
Pike County