JEFFREY DAVID STALEY-HENNE DMD - Dentist License in Illinois | # 019026492

JEFFREY DAVID STALEY-HENNE DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026492

License Status

ACTIVE

Business

N

First Name

JEFFREY

Middle

DAVID

Last Name

STALEY-HENNE

Suffix

DMD

Business Name

JEFFREY DAVID STALEY-HENNE DMD

Original Issue Date

06/28/2004

Effective Date

09/03/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/03/2024