STACY ANN VADAKKAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035744

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2025