Indiana
Professional Licensing Agency
Michael L. Leavitt, D.D.S.
Dentistry Board - Dental Corporation
License number
54000357A
Date granted
05/01/1980
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
3142 NORTH NATIONAL ROAD, COLUMBUS IN 47201
indianalicensing.org
ID 24743448
LAST UPDATED 2024-02-23 11:17:56 UTC
LAST UPDATED 2024-02-23 11:17:56 UTC
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