STACY ANN VADAKKAN DMD - Dentist License in Illinois | # 019035744

STACY ANN VADAKKAN DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035744

License Status

ACTIVE

Business

N

Title

DMD

First Name

STACY

Middle

ANN

Last Name

VADAKKAN

Business Name

STACY ANN VADAKKAN DMD

Original Issue Date

02/03/2025

Effective Date

02/03/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2025