RUSSELL J CECALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000435

License Status

ACTIVE

Business

First Name

RUSSELL J

Last Name

CECALA

Suffix

DDS

Business Name

RUSSELL J CECALA DDS

Original Issue Date

09/11/1997

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/01/2024