ELISSA LAUREN TEASDALE DMD - Dentist License in Illinois | # 021002979

ELISSA LAUREN TEASDALE DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002979

License Status

ACTIVE

Business

N

Title

DMD

First Name

ELISSA

Middle

LAUREN

Last Name

TEASDALE

Business Name

ELISSA LAUREN TEASDALE DMD

Original Issue Date

08/31/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PEDIATRIC DENTIST

Ever Disciplined

N

LastModifiedDate

05/02/2024