STEPHEN P MACLEOD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000853

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

Last Name

MACLEOD

Business Name

STEPHEN P MACLEOD

Original Issue Date

09/12/2012

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/02/2024