LESLIE BENJAMIN HEFFEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000055

License Status

ACTIVE

Business

First Name

LESLIE BENJAMIN

Last Name

HEFFEZ

Business Name

LESLIE BENJAMIN HEFFEZ

Original Issue Date

01/01/1998

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

07/09/2024